Provider Demographics
NPI:1265610497
Name:SWETNAM, LAURIE JEAN (MSW)
Entity type:Individual
Prefix:MS
First Name:LAURIE
Middle Name:JEAN
Last Name:SWETNAM
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:LAURIE
Other - Middle Name:JEAN
Other - Last Name:SWETNAM-WOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:6801 S YOSEMITE ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1441
Mailing Address - Country:US
Mailing Address - Phone:303-738-1021
Mailing Address - Fax:303-738-1047
Practice Address - Street 1:5984 S PRINCE ST
Practice Address - Street 2:SUITE 101
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-2083
Practice Address - Country:US
Practice Address - Phone:303-738-1021
Practice Address - Fax:303-738-1047
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-11
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9893251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical