Provider Demographics
NPI:1508666777
Name:PRESTON, CAROLYN BETH (MSW)
Entity type:Individual
Prefix:
First Name:CAROLYN BETH
Middle Name:
Last Name:PRESTON
Suffix:
Gender:
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2770 DAGNY WAY STE 202
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-8013
Mailing Address - Country:US
Mailing Address - Phone:303-529-8124
Mailing Address - Fax:
Practice Address - Street 1:2770 DAGNY WAY STE 202
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-8013
Practice Address - Country:US
Practice Address - Phone:303-529-8124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-17
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker