Provider Demographics
NPI:1043464340
Name:DULONG, KELLY A (LCSW)
Entity type:Individual
Prefix:
First Name:KELLY
Middle Name:A
Last Name:DULONG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KELLY
Other - Middle Name:
Other - Last Name:GORMLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:577 ALTON WAY UNIT D
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-6216
Mailing Address - Country:US
Mailing Address - Phone:303-332-1570
Mailing Address - Fax:
Practice Address - Street 1:577 ALTON WAY UNIT D
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80230-6216
Practice Address - Country:US
Practice Address - Phone:303-332-1570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-13
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1147251041C0700X
CO13691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical