Provider Demographics
NPI:1154581908
Name:WORCESTER, JENNIFER A (LP)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:A
Last Name:WORCESTER
Suffix:
Gender:
Credentials:LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19563 E MAINSTREET STE 200
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-7394
Mailing Address - Country:US
Mailing Address - Phone:303-475-2323
Mailing Address - Fax:
Practice Address - Street 1:19557 E MAINSTREET # 200
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-7420
Practice Address - Country:US
Practice Address - Phone:303-475-2323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-16
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSY.0005698103TC0700X
CO4172101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor