Provider Demographics
NPI:1609809763
Name:PIERCE, LUANN (LCSW)
Entity Type:Individual
Prefix:
First Name:LUANN
Middle Name:
Last Name:PIERCE
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 1:4635 E 19TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-1133
Mailing Address - Country:US
Mailing Address - Phone:303-910-2425
Mailing Address - Fax:866-770-8340
Practice Address - Street 1:7651 W 41ST AVE
Practice Address - Street 2:200
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-4565
Practice Address - Country:US
Practice Address - Phone:303-910-2425
Practice Address - Fax:866-770-8340
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC53031041C0700X
CO8281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical