Provider Demographics
NPI:1437425048
Name:GENDREAU LCSW, DENISE E (LCSW CACII)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:E
Last Name:GENDREAU LCSW
Suffix:
Gender:F
Credentials:LCSW CACII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5455 COUNTY ROAD 23
Mailing Address - Street 2:
Mailing Address - City:RIDGWAY
Mailing Address - State:CO
Mailing Address - Zip Code:81432-9545
Mailing Address - Country:US
Mailing Address - Phone:970-316-1994
Mailing Address - Fax:
Practice Address - Street 1:100 W. COLORADO AVENUE
Practice Address - Street 2:SUITE 227
Practice Address - City:TELLURIDE
Practice Address - State:CO
Practice Address - Zip Code:81435
Practice Address - Country:US
Practice Address - Phone:970-316-1994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical