Provider Demographics
NPI:1285818971
Name:PLANKEEL, JEFFREY DONALD (LCSW)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:DONALD
Last Name:PLANKEEL
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 1:2950 PROFESSIONAL PL STE 201
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80904-8106
Mailing Address - Country:US
Mailing Address - Phone:443-255-3748
Mailing Address - Fax:719-453-0224
Practice Address - Street 1:2950 PROFESSIONAL PLACE SUITE 201
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80904
Practice Address - Country:US
Practice Address - Phone:443-255-3748
Practice Address - Fax:719-453-0224
Is Sole Proprietor?:No
Enumeration Date:2007-12-18
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical