Provider Demographics
NPI:1326642448
Name:FELLING, DAYSHUN (LCSW)
Entity Type:Individual
Prefix:
First Name:DAYSHUN
Middle Name:
Last Name:FELLING
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 1:18695 PONY EXPRESS DRIVE #2435
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134
Mailing Address - Country:US
Mailing Address - Phone:720-278-5420
Mailing Address - Fax:888-877-8917
Practice Address - Street 1:18695 PONY EXPRESS DRIVE #2435
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134
Practice Address - Country:US
Practice Address - Phone:720-278-5420
Practice Address - Fax:888-877-8917
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099270541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical