Provider Demographics
NPI:1972973410
Name:HILBERT, CORYNNE JUNE (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:CORYNNE
Middle Name:JUNE
Last Name:HILBERT
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:PO BOX 272977
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80527-2977
Mailing Address - Country:US
Mailing Address - Phone:970-372-7001
Mailing Address - Fax:
Practice Address - Street 1:2114 SHERWOOD FOREST CT
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-2210
Practice Address - Country:US
Practice Address - Phone:970-372-7001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-27
Last Update Date:2017-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099251371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical