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Provider Information for 1750539631


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JESSICA M WARNELL LCSW


Sex: Female

NPI: 1750539631
Last Updated: 2024-01-28
Certification Date: 2024-01-28

Details

NameValue
NPI1750539631
Enumeration Date2008-09-03
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 2967 BLUFF POINTE TRL
CASTLE ROCK, CO 80104-9614
United States

Phone: 303-204-3646 | Fax:
 
Primary Practice Address 2967 BLUFF POINTE TRL
CASTLE ROCK, CO 80104-9614
United States

Phone: 303-204-3646 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 1041C0700X - Social Worker - ClinicalCO09923372
Yes 1041C0700X - Social Worker - ClinicalCOCSW.09923372