Provider Demographics
NPI:1548255847
Name:BARTLETT, CAROLYN STOCKWELL (MSW LCSW)
Entity type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:STOCKWELL
Last Name:BARTLETT
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 343
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80522-0343
Mailing Address - Country:US
Mailing Address - Phone:970-484-7868
Mailing Address - Fax:
Practice Address - Street 1:649 REMINGTON ST
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-3024
Practice Address - Country:US
Practice Address - Phone:970-484-7868
Practice Address - Fax:970-482-1148
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9850511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical