Provider Demographics
NPI:1235218306
Name:FLEMONS, JOANNA R (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JOANNA
Middle Name:R
Last Name:FLEMONS
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 1:101 WEST COUNTY LINE ROAD SUITE 220
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80129-1903
Mailing Address - Country:US
Mailing Address - Phone:303-675-7155
Mailing Address - Fax:
Practice Address - Street 1:101 WEST COUNTY LINE ROAD SUITE 220
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80129-1903
Practice Address - Country:US
Practice Address - Phone:303-675-7155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9930121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
COAMIS671379OtherBLUE CROSS BLUE SHIELD