Provider Demographics
NPI:1013392786
Name:KINSER, DESIREE B (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:DESIREE
Middle Name:B
Last Name:KINSER
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 1:4805 UMATILLA ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80221-1311
Mailing Address - Country:US
Mailing Address - Phone:512-814-9599
Mailing Address - Fax:
Practice Address - Street 1:4805 UMATILLA ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80221-1311
Practice Address - Country:US
Practice Address - Phone:512-814-9599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-23
Last Update Date:2015-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO099233301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical