Provider Demographics
NPI:1568765246
Name:JENSEN, CHELSEA (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:JENSEN
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3263 FRASER STREET, SUITE 3
Mailing Address - Street 2:LDS FAMILY SERVICES
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011
Mailing Address - Country:US
Mailing Address - Phone:303-371-1000
Mailing Address - Fax:
Practice Address - Street 1:3263 FRASER ST
Practice Address - Street 2:SUITE 3
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-1217
Practice Address - Country:US
Practice Address - Phone:303-371-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-17
Last Update Date:2010-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLSW-707104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker