Healthcare Provider Details

I. General information

NPI: 1871638437
Provider Name (Legal Business Name): JESSICA N HUFFER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 09/02/2021
Certification Date: 09/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 S COLORADO BLVD STE 2000
DENVER CO
80222-7910
US

IV. Provider business mailing address

16435 STONE LEDGE DR
PARKER CO
80134-3709
US

V. Phone/Fax

Practice location:
  • Phone: 303-578-3549
  • Fax:
Mailing address:
  • Phone: 720-785-3953
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09925925
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: