Provider Demographics
NPI:1750562500
Name:KONECNIK, WILLIAM FRANCIS (MA, MSW, LICSW)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:FRANCIS
Last Name:KONECNIK
Suffix:
Gender:M
Credentials:MA, MSW, LICSW
Other - Prefix:
Other - First Name:OWEN
Other - Middle Name:
Other - Last Name:KONECNIK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, MSW, LICSW
Mailing Address - Street 1:2000 S COLORADO BLVD
Mailing Address - Street 2:TOWER 1, SUITE 2000-4
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-7900
Mailing Address - Country:US
Mailing Address - Phone:303-884-9682
Mailing Address - Fax:
Practice Address - Street 1:2000 S COLORADO BLVD
Practice Address - Street 2:TOWER 1, SUITE 2000-4
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-7900
Practice Address - Country:US
Practice Address - Phone:303-884-9682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-21
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN18104104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker