Provider Demographics
NPI:1710151253
Name:DUNCAN, LAURA ELLINGHOUSE (MSW, MED, LCSW)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:ELLINGHOUSE
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:MSW, MED, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1455 DIXON AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-8880
Mailing Address - Country:US
Mailing Address - Phone:303-604-4244
Mailing Address - Fax:303-413-6325
Practice Address - Street 1:1455 DIXON AVE STE 300
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-8880
Practice Address - Country:US
Practice Address - Phone:303-604-4244
Practice Address - Fax:303-413-6325
Is Sole Proprietor?:No
Enumeration Date:2008-04-16
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099232841041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical