Provider Demographics
NPI:1477146181
Name:SILVA, JENNIFER MARIE (LCSW, LAC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:MARIE
Last Name:SILVA
Suffix:
Gender:F
Credentials:LCSW, LAC
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:MARIE
Other - Last Name:COMPTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW, LAC
Mailing Address - Street 1:551 PEYTON DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-8263
Mailing Address - Country:US
Mailing Address - Phone:303-345-8004
Mailing Address - Fax:
Practice Address - Street 1:2850 MCCLELLAND DR STE 3400
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-2572
Practice Address - Country:US
Practice Address - Phone:303-345-8004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-12
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACD.0001781101YA0400X
COLSW.00099227341041C0700X
COCSW.099277461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty