Provider Demographics
NPI:1285816934
Name:HENSHAW, JOEL BRENT (LCSW)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:BRENT
Last Name:HENSHAW
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6610 E COLORADO DR
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-2204
Mailing Address - Country:US
Mailing Address - Phone:303-280-8216
Mailing Address - Fax:
Practice Address - Street 1:6610 E COLORADO DR
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-2204
Practice Address - Country:US
Practice Address - Phone:303-280-8216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-04
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9896741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical