Provider Demographics
NPI:1821722927
Name:WATTS, JESSICA (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:WATTS
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9710 E 32ND AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80238-2934
Mailing Address - Country:US
Mailing Address - Phone:619-241-9887
Mailing Address - Fax:
Practice Address - Street 1:3401 QUEBEC ST STE 7600
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80207-2345
Practice Address - Country:US
Practice Address - Phone:720-891-4895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-13
Last Update Date:2024-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLSW.00099252081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical