Doctor Name: | KERRIE C. CARGILL-HITCHCOCK |
NPI Number: | 1922075092 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | 991948 |
Business Practice Address: | 1045 Robertson St Ft Collins, CO - 805243926 |
Business Phone Number: | 9704936667 |
Business Fax Number: | 9704938016 |
Mailing Address: | 375 Nancy Ct, LOVELAND |
State: | CO |
Postal Code: | 805373672 |
Phone Number: | 9702030957 |
Fax Number: | |
NPI Enumeration Date: | 03/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 991948 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |