| Jennifer Dulworth Lcsw, Llc | |
|
4825 S Lemay Ave Fort Collins CO 80525-9401 | |
| (888) 948-6789 | |
| (877) 345-3501 |
| Full Name | Jennifer Dulworth Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4825 S Lemay Ave, Fort Collins, Colorado |
| Authorized Official Name and Position | Jennifer M Dulworth (OWNER) |
| Authorized Official Contact | 2692677652 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Dulworth Lcsw, Llc 1 Kalisa Way Ste 101 Paramus NJ 07652-3508 Ph: (303) 278-7418 | Jennifer Dulworth Lcsw, Llc 4825 S Lemay Ave Fort Collins CO 80525-9401 Ph: (888) 948-6789 |
| NPI Number | 1316660319 |
|---|---|
| Provider Enumeration Date | 09/23/2022 |
| Last Update Date | 09/23/2022 |
| Certification Date | 09/23/2022 |
| Medicare PECOS PAC ID | 3375910797 |
|---|---|
| Medicare Enrollment ID | O20221027001768 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316660319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer Mary Dulworth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063147924 PECOS PAC ID: 4284001603 Enrollment ID: I20221027001912 |
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