Provider Demographics
NPI:1376740266
Name:BOCKMAN, LORRAINE KAYE (LCSW, LAC)
Entity Type:Individual
Prefix:MS
First Name:LORRAINE
Middle Name:KAYE
Last Name:BOCKMAN
Suffix:
Gender:F
Credentials:LCSW, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6402 S TROY CIR STE 340
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80111-6439
Mailing Address - Country:US
Mailing Address - Phone:303-214-5299
Mailing Address - Fax:303-389-9423
Practice Address - Street 1:6402 S TROY CIR STE 340
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-6439
Practice Address - Country:US
Practice Address - Phone:303-214-5299
Practice Address - Fax:303-389-9423
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO173101YA0400X
CO9919841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)