Provider Demographics
NPI:1427875541
Name:STEVENSON, EBONI (LCSW)
Entity type:Individual
Prefix:
First Name:EBONI
Middle Name:
Last Name:STEVENSON
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 1:9670 W COAL MINE AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-4004
Mailing Address - Country:US
Mailing Address - Phone:303-932-2121
Mailing Address - Fax:303-948-6704
Practice Address - Street 1:9670 W COAL MINE AVE STE 200
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-4004
Practice Address - Country:US
Practice Address - Phone:303-932-2121
Practice Address - Fax:303-948-6704
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-20
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.99305421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical