Provider Demographics
NPI:1730276452
Name:PATE, JOLI NICOL (LCSW)
Entity type:Individual
Prefix:MS
First Name:JOLI
Middle Name:NICOL
Last Name:PATE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JOLI
Other - Middle Name:NICOL
Other - Last Name:PATE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:900 CRESCENT DR
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-2717
Mailing Address - Country:US
Mailing Address - Phone:505-819-8846
Mailing Address - Fax:
Practice Address - Street 1:703 WALNUT ST
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80302-5032
Practice Address - Country:US
Practice Address - Phone:505-819-8846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO11751041C0700X
NMI-052361041C0700X
NMSWB-2025-02431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical