Provider Demographics
NPI:1316072010
Name:HAIMOWITZ, LOUISE ELLEN (LCSW)
Entity type:Individual
Prefix:MS
First Name:LOUISE
Middle Name:ELLEN
Last Name:HAIMOWITZ
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 1:880 LOCUST AVE
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-0548
Mailing Address - Country:US
Mailing Address - Phone:303-938-9365
Mailing Address - Fax:
Practice Address - Street 1:880 LOCUST AVE
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-0548
Practice Address - Country:US
Practice Address - Phone:303-938-9365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9860141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical