Provider Demographics
NPI:1962475269
Name:FRANCE LEWIS, JOELLE PARIS (LCSW)
Entity Type:Individual
Prefix:DR
First Name:JOELLE
Middle Name:PARIS
Last Name:FRANCE LEWIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JOELLE
Other - Middle Name:FRANCE
Other - Last Name:BRADSHAW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:298 N BURRITT AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:WY
Mailing Address - Zip Code:82834-2534
Mailing Address - Country:US
Mailing Address - Phone:970-388-1002
Mailing Address - Fax:303-296-1709
Practice Address - Street 1:298 N BURRITT AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:WY
Practice Address - Zip Code:82834-8283
Practice Address - Country:US
Practice Address - Phone:970-388-1002
Practice Address - Fax:307-278-0329
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9921541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO46936581Medicaid
CO804694Medicare ID - Type Unspecified