Provider Demographics
NPI:1154850238
Name:ROPER, LORENE MARIE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LORENE
Middle Name:MARIE
Last Name:ROPER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:
Other - Last Name:ROPER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1586 S 21ST ST STE 20
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80904-4260
Mailing Address - Country:US
Mailing Address - Phone:405-213-9043
Mailing Address - Fax:405-251-8538
Practice Address - Street 1:1586 S 21ST ST STE 20
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80904-4260
Practice Address - Country:US
Practice Address - Phone:405-213-9043
Practice Address - Fax:405-251-8538
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-12
Last Update Date:2024-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK70961041C0700X
CO099283031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical