Provider Demographics
NPI:1851601025
Name:HENDRICK, DONA KNOEL (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:DONA
Middle Name:KNOEL
Last Name:HENDRICK
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11386 GROVE ST
Mailing Address - Street 2:UNIT D
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-8064
Mailing Address - Country:US
Mailing Address - Phone:303-916-5192
Mailing Address - Fax:
Practice Address - Street 1:11386 GROVE ST
Practice Address - Street 2:UNIT D
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-8064
Practice Address - Country:US
Practice Address - Phone:303-916-5192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-20
Last Update Date:2016-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.000008581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical