Provider Demographics
NPI:1609020742
Name:ALLEN, JURGEN (MSW)
Entity Type:Individual
Prefix:
First Name:JURGEN
Middle Name:
Last Name:ALLEN
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4963 PERRY ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80212-2630
Mailing Address - Country:US
Mailing Address - Phone:303-818-8496
Mailing Address - Fax:
Practice Address - Street 1:11285 HIGHLINE DRIVE
Practice Address - Street 2:COMMUNTIY REACH CENTER
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80233
Practice Address - Country:US
Practice Address - Phone:303-428-7618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-14
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical