Healthcare Provider Details

I. General information

NPI: 1518361872
Provider Name (Legal Business Name): KATHLEEN ANN NAPOLI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHLEEN ANN SHERIDAN LCSW

II. Dates (important events)

Enumeration Date: 10/15/2014
Last Update Date: 10/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 N TAYLOR ST
GUNNISON CO
81230-2244
US

IV. Provider business mailing address

710 N TAYLOR ST
GUNNISON CO
81230-2244
US

V. Phone/Fax

Practice location:
  • Phone: 970-943-2484
  • Fax: 970-943-2318
Mailing address:
  • Phone: 970-943-2484
  • Fax: 970-943-2318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.00000266
License Number StateCO

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: