Provider Demographics
NPI:1013485994
Name:CROWSHOE-PATTERSON, CHENOA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CHENOA
Middle Name:
Last Name:CROWSHOE-PATTERSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CHENOA
Other - Middle Name:MARIE
Other - Last Name:CROWSHOE-PATTERSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6945 W OREGON DR
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80232-2124
Mailing Address - Country:US
Mailing Address - Phone:406-396-4799
Mailing Address - Fax:
Practice Address - Street 1:5045 W 1ST AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80219-1005
Practice Address - Country:US
Practice Address - Phone:720-262-4755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-08
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLSW.0009921424101YM0800X
COCSW.099265741041C0700X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO900185458Medicaid