Provider Demographics
NPI:1669669230
Name:COTTINGHAM, CELESTE LOUISE (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:CELESTE
Middle Name:LOUISE
Last Name:COTTINGHAM
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 1:9255 E LEHIGH AVE APT 207
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-1955
Mailing Address - Country:US
Mailing Address - Phone:720-220-3445
Mailing Address - Fax:
Practice Address - Street 1:1582 S PARKER RD
Practice Address - Street 2:SUITE 304
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-2714
Practice Address - Country:US
Practice Address - Phone:720-220-3445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-27
Last Update Date:2007-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO991 0681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO536738Medicare PIN