Provider Demographics
NPI:1194346148
Name:CLAUSSEN, DONALD E (CSW)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:E
Last Name:CLAUSSEN
Suffix:
Gender:M
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1912 EASTLAKE BLVD APT 1311
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80910-3408
Mailing Address - Country:US
Mailing Address - Phone:719-371-1328
Mailing Address - Fax:
Practice Address - Street 1:1912 EASTLAKE BLVD APT 1311
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80910-3408
Practice Address - Country:US
Practice Address - Phone:719-371-1328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-30
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical