Provider Demographics
NPI:1417297649
Name:STUERKE, KELLY MELISSA (LCSW)
Entity Type:Individual
Prefix:
First Name:KELLY
Middle Name:MELISSA
Last Name:STUERKE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KELLY
Other - Middle Name:MELISSA
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1004 WILSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:BERTHOUD
Mailing Address - State:CO
Mailing Address - Zip Code:80513-9372
Mailing Address - Country:US
Mailing Address - Phone:970-699-5123
Mailing Address - Fax:
Practice Address - Street 1:1440 W 29TH ST
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-2459
Practice Address - Country:US
Practice Address - Phone:970-775-7061
Practice Address - Fax:970-292-8194
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical