Provider Demographics
NPI:1124424650
Name:REYNOLDS, JENNIFER E (LCSW)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:E
Last Name:REYNOLDS
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 1:1201 MULBERRY LN
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-6265
Mailing Address - Country:US
Mailing Address - Phone:303-204-9406
Mailing Address - Fax:303-640-3199
Practice Address - Street 1:1776 S JACKSON ST
Practice Address - Street 2:SUITE 700
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-3801
Practice Address - Country:US
Practice Address - Phone:303-204-9406
Practice Address - Fax:303-640-3199
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-11
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO99233251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical