Provider Demographics
NPI:1578187837
Name:MRZLAK, ERIKA ROSE (LSW)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:ROSE
Last Name:MRZLAK
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5351 S ROSLYN ST STE 200
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2132
Mailing Address - Country:US
Mailing Address - Phone:303-770-6500
Mailing Address - Fax:303-770-2211
Practice Address - Street 1:5351 S ROSLYN ST STE 200
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2132
Practice Address - Country:US
Practice Address - Phone:303-770-6500
Practice Address - Fax:303-770-2211
Is Sole Proprietor?:No
Enumeration Date:2020-06-02
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149-0235271041C0700X
COCSW.099302511041C0700X
IL150.104300104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker