Provider Demographics
NPI:1437586815
Name:DELUISE, LINNEA (LCSW)
Entity Type:Individual
Prefix:
First Name:LINNEA
Middle Name:
Last Name:DELUISE
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 1:2000 S. COLORADO BLVD.
Mailing Address - Street 2:TOWER ONE, SUITE 2000 - #56
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222
Mailing Address - Country:US
Mailing Address - Phone:720-580-5913
Mailing Address - Fax:
Practice Address - Street 1:2000 S. COLORADO BLVD.
Practice Address - Street 2:TOWER ONE, SUITE 2000 - #56
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222
Practice Address - Country:US
Practice Address - Phone:720-580-5913
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-01
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
172V00000X
COCSW.099268571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No172V00000XOther Service ProvidersCommunity Health Worker