Provider Demographics
NPI:1003118993
Name:HERTNER, CLAUDETTE M (LCSW)
Entity Type:Individual
Prefix:
First Name:CLAUDETTE
Middle Name:M
Last Name:HERTNER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3210 LUTHERAN PKWY
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-6019
Mailing Address - Country:US
Mailing Address - Phone:303-425-8000
Mailing Address - Fax:303-467-4925
Practice Address - Street 1:3210 LUTHERAN PKWY
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-6019
Practice Address - Country:US
Practice Address - Phone:303-425-8000
Practice Address - Fax:303-467-4925
Is Sole Proprietor?:No
Enumeration Date:2010-11-26
Last Update Date:2010-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9924681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical