Provider Demographics
NPI:1407079353
Name:TOP, JODI L (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JODI
Middle Name:L
Last Name:TOP
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 1:141 W DAVIES AVE N
Mailing Address - Street 2:SUITE 105
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-5211
Mailing Address - Country:US
Mailing Address - Phone:303-730-1717
Mailing Address - Fax:
Practice Address - Street 1:141 W DAVIES AVE N
Practice Address - Street 2:SUITE 105
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-5211
Practice Address - Country:US
Practice Address - Phone:303-730-1717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical