Provider Demographics
NPI:1740041201
Name:LEWTON, JACQUELINE DANIELLE (MA)
Entity type:Individual
Prefix:
First Name:JACQUELINE
Middle Name:DANIELLE
Last Name:LEWTON
Suffix:
Gender:
Credentials:MA
Other - Prefix:
Other - First Name:JACQUELINE
Other - Middle Name:DANIELLE
Other - Last Name:SILVERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:6703 FRASER CIR
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:CO
Mailing Address - Zip Code:80530-7144
Mailing Address - Country:US
Mailing Address - Phone:303-521-7574
Mailing Address - Fax:
Practice Address - Street 1:6703 FRASER CIR
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:CO
Practice Address - Zip Code:80530-7144
Practice Address - Country:US
Practice Address - Phone:303-521-7574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-22
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0021349101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional