Provider Demographics
NPI:1114150372
Name:ZAMBRANO, KRISTI SMITH (LCSW, MSW)
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:SMITH
Last Name:ZAMBRANO
Suffix:
Gender:F
Credentials:LCSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1912 MOHAWK ST
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-1526
Mailing Address - Country:US
Mailing Address - Phone:602-451-5215
Mailing Address - Fax:
Practice Address - Street 1:1912 MOHAWK ST
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-1526
Practice Address - Country:US
Practice Address - Phone:602-451-5215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-03
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO099284221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical