Provider Demographics
NPI:1609896950
Name:BELL, NANCY D (RN, LCSW)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:D
Last Name:BELL
Suffix:
Gender:F
Credentials:RN, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3955 E EXPOSITION AVE STE 216
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-5032
Mailing Address - Country:US
Mailing Address - Phone:303-282-7653
Mailing Address - Fax:303-282-7655
Practice Address - Street 1:3955 E EXPOSITION AVE STE 216
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-5032
Practice Address - Country:US
Practice Address - Phone:303-282-7653
Practice Address - Fax:303-282-7655
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9897181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC802754Medicare ID - Type Unspecified