Provider Demographics
NPI:1144400896
Name:KULINSKI, VICKIE JEAN (LCSW)
Entity Type:Individual
Prefix:
First Name:VICKIE
Middle Name:JEAN
Last Name:KULINSKI
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 1:244 TIMBERLAKE RD
Mailing Address - Street 2:
Mailing Address - City:BOSTIC
Mailing Address - State:NC
Mailing Address - Zip Code:28018-4506
Mailing Address - Country:US
Mailing Address - Phone:303-847-7042
Mailing Address - Fax:720-458-5097
Practice Address - Street 1:8871 W 65TH AVE
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80004-3114
Practice Address - Country:US
Practice Address - Phone:303-847-7042
Practice Address - Fax:720-458-5097
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-10
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.21031921041C0700X
FLSW162691041C0700X
NCCO136951041C0700X
CO18291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical