Healthcare Provider Details

I. General information

NPI: 1013485994
Provider Name (Legal Business Name): CHENOA CROWSHOE-PATTERSON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHENOA MARIE CROWSHOE-PATTERSON

II. Dates (important events)

Enumeration Date: 11/08/2018
Last Update Date: 09/13/2023
Certification Date: 09/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5045 W 1ST AVE
DENVER CO
80219-1005
US

IV. Provider business mailing address

6945 W OREGON DR
LAKEWOOD CO
80232-2124
US

V. Phone/Fax

Practice location:
  • Phone: 720-262-4755
  • Fax:
Mailing address:
  • Phone: 406-396-4799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLSW.0009921424
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09926574
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: