Provider Demographics
NPI:1750663019
Name:BARTLETT, SUSAN RENE (MSW)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:RENE
Last Name:BARTLETT
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:RENE
Other - Last Name:SHAW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:1027 W HORSETOOTH RD UNIT 200
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-5982
Mailing Address - Country:US
Mailing Address - Phone:970-472-1207
Mailing Address - Fax:970-493-1305
Practice Address - Street 1:1027 W HORSETOOTH RD UNIT 200
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-5982
Practice Address - Country:US
Practice Address - Phone:970-472-1207
Practice Address - Fax:970-493-1305
Is Sole Proprietor?:No
Enumeration Date:2011-09-13
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker