Provider Demographics
NPI:1932179058
Name:DAMM, LLOYD PAUL MILTON (LCSW, MSW)
Entity Type:Individual
Prefix:
First Name:LLOYD
Middle Name:PAUL MILTON
Last Name:DAMM
Suffix:
Gender:M
Credentials:LCSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8275 CEDAR CHASE DR
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN
Mailing Address - State:CO
Mailing Address - Zip Code:80817-4015
Mailing Address - Country:US
Mailing Address - Phone:719-494-9097
Mailing Address - Fax:
Practice Address - Street 1:DEPARTMENT OF THE ARMY FORT CARSON MEDICAL DEAPARTMENT
Practice Address - Street 2:ACTIVITY, 1650 COCHRANE CIRCLE
Practice Address - City:FORT CARSON
Practice Address - State:CO
Practice Address - Zip Code:80913
Practice Address - Country:US
Practice Address - Phone:719-526-7155
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1971041C0700X
MI68010715381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical