Provider Demographics
NPI:1043647225
Name:SHOEMAKER, ALICE (LCSW)
Entity type:Individual
Prefix:MS
First Name:ALICE
Middle Name:
Last Name:SHOEMAKER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1949 WADSWORTH BLVD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80214-5288
Mailing Address - Country:US
Mailing Address - Phone:303-237-3599
Mailing Address - Fax:303-238-7828
Practice Address - Street 1:1949 WADSWORTH BLVD
Practice Address - Street 2:SUITE 206
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80214-5288
Practice Address - Country:US
Practice Address - Phone:303-237-3599
Practice Address - Fax:303-238-7828
Is Sole Proprietor?:No
Enumeration Date:2013-10-02
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3824101YA0400X
CO1781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)