Provider Demographics
NPI:1316003452
Name:LANE, JULIE ELISABETH (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:ELISABETH
Last Name:LANE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:JULE
Other - Middle Name:ELISABETH
Other - Last Name:LANE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1093 SOUTHBURY CT
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-1842
Mailing Address - Country:US
Mailing Address - Phone:303-204-4221
Mailing Address - Fax:
Practice Address - Street 1:1093 SOUTHBURY CT
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-1842
Practice Address - Country:US
Practice Address - Phone:303-204-4221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-30
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN340007911041C0700X
CO1711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical