Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIANE JO DETTLOFF
Active Sole ProprietorDIANE JO DETTLOFF is a Clinical Social Worker healthcare provider located in MANCOS, Colorado. NPI 1245947670 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · MANCOS, CO
Registration Details
- NPI Number
- 1245947670
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 4, 2022 (3.5935417814605 yrs)
- Last Updated
- Nov 4, 2022
- License
-
CSW.09925569 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
35815 ROAD P.5MANCOS, CO, 813288798Browse CO providers · Browse ZIP 81328
- Phone
- 9705709673
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in MANCOS, CO
| Name | Credential | NPI |
|---|---|---|
| MS. CRISTAL LYNN COOK | LCSW | 1508856451 |
| MS. DIANE MARIE CARSON | LAC, LCSW | 1376859918 |
| CHRISTIE S. WILLIAMS | LCSW | 1306244017 |
| STEPHANIE SMITH | LCSW, LAC | 1063143121 |
| CAMPBELL ALEXANDRA FERRARO | LCSW, LAC | 1174388300 |
| SARAH COBURN HACKETT | LCSW | 1619780913 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.