Provider Demographics
NPI:1154746246
Name:SMIEGOWSKI, KRAIG (LCSW)
Entity type:Individual
Prefix:MR
First Name:KRAIG
Middle Name:
Last Name:SMIEGOWSKI
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1169 LOST ELK CIR
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80108-8739
Mailing Address - Country:US
Mailing Address - Phone:303-895-9545
Mailing Address - Fax:
Practice Address - Street 1:7501 VILLAGE SQUARE DR STE 202
Practice Address - Street 2:
Practice Address - City:CASTLE PINES
Practice Address - State:CO
Practice Address - Zip Code:80108-3708
Practice Address - Country:US
Practice Address - Phone:303-895-9545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-26
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO099249651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical