Provider Demographics
NPI:1568857183
Name:KAZECK, DAWN (MSW)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:KAZECK
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 1:2250 S ONEIDA ST
Mailing Address - Street 2:SUITE #200
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-2556
Mailing Address - Country:US
Mailing Address - Phone:303-433-1975
Mailing Address - Fax:
Practice Address - Street 1:2250 S ONEIDA ST
Practice Address - Street 2:SUITE #200
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-2556
Practice Address - Country:US
Practice Address - Phone:303-433-1975
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-31
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONLC.0104696104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker