Provider Demographics
NPI:1972179455
Name:HORNSTRA, NICOLE B (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:B
Last Name:HORNSTRA
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:B
Other - Last Name:LANDHUIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LSW
Mailing Address - Street 1:2320 E WESLEY AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-5406
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8805 W 14TH AVE STE 300
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-4848
Practice Address - Country:US
Practice Address - Phone:720-943-7080
Practice Address - Fax:720-316-7577
Is Sole Proprietor?:No
Enumeration Date:2021-06-03
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical