Provider Demographics
NPI:1780069211
Name:HAROLD, ANNIKA WINTER (LCSW)
Entity type:Individual
Prefix:
First Name:ANNIKA
Middle Name:WINTER
Last Name:HAROLD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ANNIKA
Other - Middle Name:RENE
Other - Last Name:WINTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4838 MT SHAVANO ST
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-4712
Mailing Address - Country:US
Mailing Address - Phone:530-308-0336
Mailing Address - Fax:
Practice Address - Street 1:3841 GREEN HILLS VILLAGE DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-2691
Practice Address - Country:US
Practice Address - Phone:615-322-7127
Practice Address - Fax:615-875-5955
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-27
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA278351041S0200X
COCSW.099267421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool