Provider Demographics
NPI:1497744130
Name:PLATTNER, JANE ELLEN (MSW)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:ELLEN
Last Name:PLATTNER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 WADSWORTH BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80214-4591
Mailing Address - Country:US
Mailing Address - Phone:720-748-8113
Mailing Address - Fax:303-954-0083
Practice Address - Street 1:950 WADSWORTH BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80214-4591
Practice Address - Country:US
Practice Address - Phone:720-748-8113
Practice Address - Fax:303-954-0083
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-15
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COSW99180971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO375425Medicare PIN