Provider Demographics
NPI:1629545942
Name:THORNBURG, CARA JANE (BSSW)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:JANE
Last Name:THORNBURG
Suffix:
Gender:F
Credentials:BSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2381 GARLAND ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215-1631
Mailing Address - Country:US
Mailing Address - Phone:720-202-9330
Mailing Address - Fax:
Practice Address - Street 1:2381 GARLAND ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-1631
Practice Address - Country:US
Practice Address - Phone:720-202-9330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-24
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker