Healthcare Provider Details

I. General information

NPI: 1417851478
Provider Name (Legal Business Name): KELSEY HOPE GORDON MSW, CSWC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. KELSEY HOPE SMUCK

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2938 NORTH AVE STE E
GRAND JUNCTION CO
81504-5797
US

IV. Provider business mailing address

2852 PINEHURST LN
GRAND JUNCTION CO
81503-2299
US

V. Phone/Fax

Practice location:
  • Phone: 970-245-1616
  • Fax: 970-241-8722
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: