Provider Demographics
NPI:1588784805
Name:EDWARDS, JANA KAY (MSW)
Entity type:Individual
Prefix:MS
First Name:JANA
Middle Name:KAY
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 MADISON STREET
Mailing Address - Street 2:SUITE 600
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-5422
Mailing Address - Country:US
Mailing Address - Phone:303-393-1474
Mailing Address - Fax:303-388-8251
Practice Address - Street 1:55 MADISON STREET
Practice Address - Street 2:SUITE 600
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-5422
Practice Address - Country:US
Practice Address - Phone:303-393-1474
Practice Address - Fax:303-388-8251
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9860511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical