Provider Demographics
NPI:1932850484
Name:TYLER, JANIE (LCSW)
Entity Type:Individual
Prefix:
First Name:JANIE
Middle Name:
Last Name:TYLER
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 1:10830 TOWERBRIDGE LN
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80130-6637
Mailing Address - Country:US
Mailing Address - Phone:720-704-5846
Mailing Address - Fax:720-704-5449
Practice Address - Street 1:10830 TOWERBRIDGE LN
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80130-6637
Practice Address - Country:US
Practice Address - Phone:720-704-5846
Practice Address - Fax:720-704-5449
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-17
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW099276121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical