Provider Demographics
NPI:1578208575
Name:DOLLAR, JESSICA L (LCSW)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:L
Last Name:DOLLAR
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 1:1600 STOUT ST STE 2001600
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-3160
Mailing Address - Country:US
Mailing Address - Phone:720-204-5760
Mailing Address - Fax:888-920-1915
Practice Address - Street 1:330 1ST CAPITOL DR STE 240
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63301-2846
Practice Address - Country:US
Practice Address - Phone:314-900-1112
Practice Address - Fax:888-920-1915
Is Sole Proprietor?:No
Enumeration Date:2022-05-03
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY104989104100000X, 1041C0700X
MO2022010288104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical