Healthcare Provider Details

I. General information

NPI: 1215288527
Provider Name (Legal Business Name): STEPHANIE DAWN ROGERS JESTER MSW, LCSW, LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2012
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8977 EAGLE RIVER ST
LITTLETON CO
80125-8003
US

IV. Provider business mailing address

8977 EAGLE RIVER ST
LITTLETON CO
80125-8003
US

V. Phone/Fax

Practice location:
  • Phone: 303-746-4113
  • Fax:
Mailing address:
  • Phone: 303-746-4113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number7199
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number9923070
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: