Healthcare Provider Details

I. General information

NPI: 1902162373
Provider Name (Legal Business Name): JESSICA C HANDELMAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2012
Last Update Date: 01/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8778 WOLFF CT
WESTMINSTER CO
80031-3698
US

IV. Provider business mailing address

8778 WOLFF CT
WESTMINSTER CO
80031-3698
US

V. Phone/Fax

Practice location:
  • Phone: 720-774-8000
  • Fax:
Mailing address:
  • Phone: 720-774-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW09925215
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: