Healthcare Provider Details

I. General information

NPI: 1144919291
Provider Name (Legal Business Name): ALONDRA ESCARENO LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2023
Last Update Date: 08/01/2024
Certification Date: 08/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 EUDORA ST
DENVER CO
80207-2500
US

IV. Provider business mailing address

3401 EUDORA ST
DENVER CO
80207-2500
US

V. Phone/Fax

Practice location:
  • Phone: 303-300-6333
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLSW0009923647
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW09930652
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: