Provider Demographics
NPI:1033323670
Name:POOR, VIRGINIA HOPE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:VIRGINIA
Middle Name:HOPE
Last Name:POOR
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 1:495 UINTA WAY
Mailing Address - Street 2:SUITE 270
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-7110
Mailing Address - Country:US
Mailing Address - Phone:303-344-4431
Mailing Address - Fax:303-344-4432
Practice Address - Street 1:495 UINTA WAY
Practice Address - Street 2:SUITE 270
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80230-7110
Practice Address - Country:US
Practice Address - Phone:303-344-4431
Practice Address - Fax:303-344-4432
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9890601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical