Provider Demographics
NPI:1528154200
Name:NOBLITT, CAROLE JEAN (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:CAROLE
Middle Name:JEAN
Last Name:NOBLITT
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:CAROLE
Other - Middle Name:JEAN
Other - Last Name:HARROLD-NOBLITT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:2627 18TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80631
Mailing Address - Country:US
Mailing Address - Phone:970-378-9419
Mailing Address - Fax:
Practice Address - Street 1:804 11TH AVENUE
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80631
Practice Address - Country:US
Practice Address - Phone:970-336-0112
Practice Address - Fax:970-302-7661
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9929621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical