Individual
ANDREA BETH FOGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-4949
(720) 423-8600
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-4949
(720) 423-8600
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.0002137
CO
1041S0200X
School Social Worker
CSW.0002137
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
957
—
CO
Enumeration date
07/06/2022
Last updated
11/25/2024
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