Provider Demographics
NPI:1790243236
Name:ZORNES, JAMIE M (CSW09924416)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:M
Last Name:ZORNES
Suffix:
Gender:F
Credentials:CSW09924416
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 ELLENDALE ST
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-8801
Mailing Address - Country:US
Mailing Address - Phone:303-910-9693
Mailing Address - Fax:
Practice Address - Street 1:117 ELLENDALE ST
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-8801
Practice Address - Country:US
Practice Address - Phone:303-910-9693
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-04
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099244161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical