Healthcare Provider Details

I. General information

NPI: 1538875547
Provider Name (Legal Business Name): ROCHELLE BRAATEN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2023
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4575 BYRD DR
LOVELAND CO
80538-7198
US

IV. Provider business mailing address

6887 STEEPLE CHASE DR APT 304
WINDSOR CO
80550-8209
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09932460
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: