Provider Demographics
NPI:1780112201
Name:HERNANDEZ-CAUDRON, JOANNA (LCSW)
Entity type:Individual
Prefix:
First Name:JOANNA
Middle Name:
Last Name:HERNANDEZ-CAUDRON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1155 S HAVANA ST
Mailing Address - Street 2:#11-610
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-4017
Mailing Address - Country:US
Mailing Address - Phone:720-819-7870
Mailing Address - Fax:
Practice Address - Street 1:1155 S HAVANA ST
Practice Address - Street 2:#11-610
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4017
Practice Address - Country:US
Practice Address - Phone:720-819-7870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-28
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099263761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical