Provider Demographics
NPI:1427395235
Name:QUICK, JESSICA WOODWARD (MSW)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:WOODWARD
Last Name:QUICK
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:LEE
Other - Last Name:WOODWARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1939 W 32ND AVE APT 104
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-3444
Mailing Address - Country:US
Mailing Address - Phone:315-725-8687
Mailing Address - Fax:
Practice Address - Street 1:1939 W 32ND AVE APT 104
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-3444
Practice Address - Country:US
Practice Address - Phone:315-725-8687
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-14
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1161311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical