Provider Demographics
NPI:1164645602
Name:LOVEJOY, JODI (DBH, LCSW, MSW)
Entity Type:Individual
Prefix:DR
First Name:JODI
Middle Name:
Last Name:LOVEJOY
Suffix:
Gender:F
Credentials:DBH, LCSW, MSW
Other - Prefix:DR
Other - First Name:JODI
Other - Middle Name:
Other - Last Name:LOVEJOY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DBH, LCSW, MSW
Mailing Address - Street 1:275 ASPEN
Mailing Address - Street 2:POSTAL BOX 89
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011
Mailing Address - Country:US
Mailing Address - Phone:720-847-6451
Mailing Address - Fax:
Practice Address - Street 1:18230 EAST SLIVER CREEK STREET
Practice Address - Street 2:BAFB
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011
Practice Address - Country:US
Practice Address - Phone:720-847-6451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO009913521041C0700X
AZ105331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical