Provider Demographics
NPI:1245987510
Name:HENSON, MARIA DAWN (CSW)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:DAWN
Last Name:HENSON
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2220 MAPLE HILL DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-2663
Mailing Address - Country:US
Mailing Address - Phone:310-753-7979
Mailing Address - Fax:
Practice Address - Street 1:2220 MAPLE HILL DR
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-2663
Practice Address - Country:US
Practice Address - Phone:310-753-7979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-07
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099280361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical