Provider Demographics
NPI:1487058426
Name:CHANEY, AMANDA JONES (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:JONES
Last Name:CHANEY
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6650 S VINE ST STE 215
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80121-2763
Mailing Address - Country:US
Mailing Address - Phone:720-235-5393
Mailing Address - Fax:
Practice Address - Street 1:6650 S VINE ST STE 215
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80121-2763
Practice Address - Country:US
Practice Address - Phone:720-235-5393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-20
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW .099242961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1033662093OtherGROUP NPI