Provider Demographics
NPI:1154129971
Name:FARNSWORTH, COLLEEN ANN (SWC)
Entity type:Individual
Prefix:
First Name:COLLEEN
Middle Name:ANN
Last Name:FARNSWORTH
Suffix:
Gender:
Credentials:SWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 EDGEVIEW DR APT 2510
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80021-8080
Mailing Address - Country:US
Mailing Address - Phone:302-367-8923
Mailing Address - Fax:
Practice Address - Street 1:120 EDGEVIEW DR APT 2510
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80021-8080
Practice Address - Country:US
Practice Address - Phone:302-367-8923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COSWC.00000016791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical