Provider Demographics
NPI:1346384666
Name:HANSEN, LORETTA ALINE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LORETTA
Middle Name:ALINE
Last Name:HANSEN
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 1:8461 TURNPIKE DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-4376
Mailing Address - Country:US
Mailing Address - Phone:720-540-0536
Mailing Address - Fax:720-540-0535
Practice Address - Street 1:8461 TURNPIKE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-4376
Practice Address - Country:US
Practice Address - Phone:720-540-0536
Practice Address - Fax:720-540-0535
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9922121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical