Provider Demographics
NPI:1730396367
Name:SEENICHAMY, JAYADEVI K (LCSW)
Entity type:Individual
Prefix:DR
First Name:JAYADEVI
Middle Name:K
Last Name:SEENICHAMY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:DR
Other - First Name:JAYADEVI
Other - Middle Name:
Other - Last Name:KARUTHASAMYTHEVAR SEENICHAMY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 630696
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80163-0696
Mailing Address - Country:US
Mailing Address - Phone:720-301-1460
Mailing Address - Fax:
Practice Address - Street 1:6901 S PIERCE ST
Practice Address - Street 2:STE 380
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80128-4554
Practice Address - Country:US
Practice Address - Phone:720-301-1460
Practice Address - Fax:303-617-1341
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical