Healthcare Provider Details

I. General information

NPI: 1306763461
Provider Name (Legal Business Name): TERESE ANALISE CASEY WILLIAMSON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TERESE ANALISE CASEY LCSW

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4575 BYRD DR
LOVELAND CO
80538-7198
US

IV. Provider business mailing address

2685 N COUNTY ROAD 29
LOVELAND CO
80538-9711
US

V. Phone/Fax

Practice location:
  • Phone: 970-593-3300
  • Fax:
Mailing address:
  • Phone: 602-989-5828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09933317
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: