Provider Demographics
NPI:1659619013
Name:NANCY S. PERRY, L.C.S.W., LLC
Entity Type:Organization
Organization Name:NANCY S. PERRY, L.C.S.W., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:SUSAN
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:303-430-4136
Mailing Address - Street 1:5808 S RAPP ST STE 100
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-1942
Mailing Address - Country:US
Mailing Address - Phone:303-430-4136
Mailing Address - Fax:720-633-9098
Practice Address - Street 1:5808 S RAPP ST STE 100
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-1942
Practice Address - Country:US
Practice Address - Phone:303-430-4136
Practice Address - Fax:720-633-9098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-19
Last Update Date:2013-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9915051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty