Provider Demographics
NPI:1831419969
Name:DEMATTEE, GINA MARIE (LCSW)
Entity type:Individual
Prefix:
First Name:GINA
Middle Name:MARIE
Last Name:DEMATTEE
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 1:4555 W MINERAL DR UNIT 514
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-2568
Mailing Address - Country:US
Mailing Address - Phone:720-556-8340
Mailing Address - Fax:
Practice Address - Street 1:4555 W MINERAL DR UNIT 514
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80128-2568
Practice Address - Country:US
Practice Address - Phone:720-556-8340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-11
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical