Provider Demographics
NPI:1033915483
Name:DURAN, WHITNEY BREE (LSW)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:BREE
Last Name:DURAN
Suffix:
Gender:
Credentials:LSW
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:BREE
Other - Last Name:BOTHAST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:611 W 33RD ST
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-4222
Mailing Address - Country:US
Mailing Address - Phone:765-209-0458
Mailing Address - Fax:
Practice Address - Street 1:4101 COUNTY ROAD 222
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81303-6703
Practice Address - Country:US
Practice Address - Phone:970-563-5712
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLSW.00099241141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical