DR. STACEY LYNN FREEDENTHAL (NPI# 1619211208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619211208 |
| Entity Type | Individual |
| Full Name | DR. STACEY LYNN FREEDENTHAL |
| Credential | MSW, PHD |
| Practice Address |
4770 E Iliff Ave Denver CO 80222-6061 |
| Practice Telephone | 7208377324 |
| Practice Fax Number | 3037577994 |
| Mailing Telephone | 7208377324 |
| Mailing Fax Number | 3037577994 |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2012-11-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1214 | CO | Behavioral Health & Social Service Providers |
| Street Address |
4770 E ILIFF AVE |
| City | DENVER |
| State | CO |
| Zip Code | 80222-6061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851381610 | Erwin L. Mozer | Psychiatry & Neurology | 4770 E Iliff Ave, Ste 230, Denver, CO 80222-6000 | 2005-10-24 |
| 1548696214 | Joseph Mendozza, Md PC | Psychologist | 4770 E Iliff Ave, Suite 232, Denver, CO 80222-6061 | 2013-09-25 |
| 1801233598 | Robert A. Chinisci, Ph.d., P.C. | Clinical Neuropsychologist | 4770 E Iliff Ave, Suite 234, Denver, CO 80222-6061 | 2013-06-04 |
| 1851639231 | Dianne Marie Ritchey | Counselor | 4770 E Iliff Ave, Suite 109, Denver, CO 80222-6061 | 2013-01-20 |
| 1346530631 | Dan L. Manzanares, Psyd, PC | Clinic/Center | 4770 E Iliff Ave, 102, Denver, CO 80222-6061 | 2011-04-08 |
| 1477864684 | Tms Center of Colorado, LLC | Psychiatry & Neurology | 4770 E Iliff Ave, Suite 224, Denver, CO 80222-6061 | 2010-06-23 |
| 1588814214 | Desta Meklit Taye-channell | Counselor | 4770 E Iliff Ave, Suite 116, Denver, CO 80222-6061 | 2008-09-30 |
| 1437321197 | Colleen Angelic Gill | Dietitian, Registered | 4770 E Iliff Ave, Suite 231, Denver, CO 80222-6061 | 2008-04-02 |
| 1801003116 | Sandra Kay Griffin | Counselor | 4770 E Iliff Ave, Suite 111, Denver, CO 80222-6061 | 2007-05-17 |
| 1316169691 | Barbara Ellman | Social Worker | 4770 E Iliff Ave, Suite 106, Denver, CO 80222-6061 | 2007-05-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625389 | Vi-thuy Vo | Student in an Organized Health Care Education/Training Program | 4141 E Dickenson Pl # 264b, Denver, CO 80222 | 2019-08-19 |
| 1255827143 | Megan Whitehead | Nurse Practitioner | 2696 S Colorado Blvd Ste 110, Denver, CO 80222 | 2018-07-03 |
| 1255859732 | Kathleen Goldman | Occupational Therapist | 6343 E Girard Place, Unit 442, Denver, CO 80222 | 2017-09-05 |
| 1891213435 | Caron Cottman | Counselor | Maria Droste Counseling Center 1355 S Colorado Blvd., Denver, CO 80222 | 2017-09-04 |
| 1154846939 | Colorado Pain Practice, Pllc | Anesthesiology | 2696 S Colorado Blvd Ste 100, Denver, CO 80222 | 2017-08-14 |
| 1831610021 | Danielle V Jones | Counselor | 4141 E. Dickerson Place, Denver, CO 80222 | 2017-06-28 |
| 1629508247 | Capable Conversations, LLC | Speech-Language Pathologist | 3451 S Elm Street, Denver, CO 80222 | 2017-06-15 |
| 1235672031 | Julie Reichenberger, Ma, Lpc, Pllc | Counselor | 1780 South Bellaire Street, Suite 485, Denver, CO 80222 | 2016-11-28 |
| 1346797925 | Encompass Home Health of Colorado, LLC | Hospice Care, Community Based | 1355 S Colorado Blvd Ste 604, Denver, CO 80222 | 2016-09-01 |
| 1124574363 | Shannon Barfield | Case Manager/Care Coordinator | Mental Health Center of Denver 4141 E. Dickenson Pl, Denver, CO 80222 | 2016-08-28 |
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| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
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|---|---|---|---|---|
| 1982205704 | Renaissance Therapy Denver | Social Worker | 4495 Hale Pkwy Ste 114, Denver, CO 80220-6203 | 2020-11-06 |
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| 1992305791 | Heather's Healing Therapy | Social Worker | 3550 S Harlan St Unit 267, Denver, CO 80235-2712 | 2020-10-30 |
| 1801495288 | Marissa Schnell | Social Worker | 8012 Norman Pointe Dr, Denver, NC 28037-7700 | 2020-10-18 |
| 1417563123 | Joy As Resistance | Social Worker | 7779 Martin Luther King Blvd, Denver, CO 80238-3802 | 2020-09-17 |
| 1902411572 | Destinee Ortega | Social Worker | 2985 Grove St, Denver, CO 80211-3749 | 2020-09-10 |
| 1184235947 | Croswaite Counseling, Pllc | Social Worker | 1928 E 18th Ave, Denver, CO 80206-1108 | 2020-08-13 |
| 1477164382 | Croswaite Counseling, Pllc | Social Worker | 1220 S Parker Rd Ste 201a, Denver, CO 80231-2115 | 2020-08-13 |
| 1952911125 | Bridget Camacho | Social Worker | 191 S Emerson St, Denver, CO 80209-2209 | 2020-08-03 |
| 1588273957 | Center for Valued Living, Pllc | Social Worker | 1355 S Colorado Blvd Ste C810, Denver, CO 80222-3351 | 2020-07-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.