Provider Demographics
NPI:1598954240
Name:BOCKHOFF, CELIA (LCSW)
Entity Type:Individual
Prefix:
First Name:CELIA
Middle Name:
Last Name:BOCKHOFF
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CELIA
Other - Middle Name:
Other - Last Name:BOCKHOFF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:2325 19TH ST
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-4214
Mailing Address - Country:US
Mailing Address - Phone:720-346-1388
Mailing Address - Fax:
Practice Address - Street 1:2325 19TH ST
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-4214
Practice Address - Country:US
Practice Address - Phone:720-346-1388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-18
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC014689001041C0700X
CO13501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical