Provider Demographics
NPI:1295332385
Name:STOTT, JOCELYN (LCSW, CBEIP-MH)
Entity type:Individual
Prefix:
First Name:JOCELYN
Middle Name:
Last Name:STOTT
Suffix:
Gender:F
Credentials:LCSW, CBEIP-MH
Other - Prefix:
Other - First Name:CIRCLE
Other - Middle Name:
Other - Last Name:THREE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LLC
Mailing Address - Street 1:2519 S SHIELDS ST STE 1K633
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-1855
Mailing Address - Country:US
Mailing Address - Phone:720-893-2321
Mailing Address - Fax:
Practice Address - Street 1:2519 S SHIELDS ST STE 1K633
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-1855
Practice Address - Country:US
Practice Address - Phone:720-893-2321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-02
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
1982329165OtherGROUP NPI