Provider Demographics
NPI:1225618929
Name:STEINAGEL, JENNA (MSW, SWC)
Entity Type:Individual
Prefix:
First Name:JENNA
Middle Name:
Last Name:STEINAGEL
Suffix:
Gender:F
Credentials:MSW, SWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8000 E 12TH AVE APT 1-35
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-3304
Mailing Address - Country:US
Mailing Address - Phone:208-419-2223
Mailing Address - Fax:
Practice Address - Street 1:8000 E 12TH AVE APT 1-35
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3304
Practice Address - Country:US
Practice Address - Phone:208-419-2223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-08
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0000000276101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty