Provider Demographics
NPI:1255943601
Name:BENAVIDES, JANAE HEANEY (LCSW, LMSW)
Entity type:Individual
Prefix:
First Name:JANAE
Middle Name:HEANEY
Last Name:BENAVIDES
Suffix:
Gender:
Credentials:LCSW, LMSW
Other - Prefix:
Other - First Name:JANAE
Other - Middle Name:
Other - Last Name:BENAVIDES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW, LMSW
Mailing Address - Street 1:1001 E BAYAUD AVE APT 409
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-2373
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1001 E BAYAUD AVE APT 409
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-2373
Practice Address - Country:US
Practice Address - Phone:402-889-2920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-18
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68511075241041C0700X
MI68011075241041C0700X
CO099300111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical