Provider Demographics
NPI:1912189952
Name:BIRNIE, JENNIFER CHOCOLE (MSW)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:CHOCOLE
Last Name:BIRNIE
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:PO BOX 1558
Mailing Address - Street 2:
Mailing Address - City:GUNNISON
Mailing Address - State:CO
Mailing Address - Zip Code:81230-1558
Mailing Address - Country:US
Mailing Address - Phone:970-349-6225
Mailing Address - Fax:
Practice Address - Street 1:35 BRACKENBURY ST
Practice Address - Street 2:
Practice Address - City:CRESTED BUTTE
Practice Address - State:CO
Practice Address - Zip Code:81224-9745
Practice Address - Country:US
Practice Address - Phone:970-349-6225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-01
Last Update Date:2007-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical