Provider Demographics
NPI:1245747666
Name:HANSON, KELSEY IRENE (MSW)
Entity Type:Individual
Prefix:
First Name:KELSEY
Middle Name:IRENE
Last Name:HANSON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 COFFMAN ST
Mailing Address - Street 2:#1261
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-9721
Mailing Address - Country:US
Mailing Address - Phone:720-583-5328
Mailing Address - Fax:
Practice Address - Street 1:723 DELAWARE ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-4504
Practice Address - Country:US
Practice Address - Phone:763-370-2869
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-08
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099251581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical