Provider Demographics
NPI:1609622703
Name:HAY, ALEXIS RENATE (LCSW)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:RENATE
Last Name:HAY
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 1:701 E BAYAUD AVE APT 10
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-2183
Mailing Address - Country:US
Mailing Address - Phone:615-934-7639
Mailing Address - Fax:
Practice Address - Street 1:10120 TWENTY MILE RD STE 100
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-5667
Practice Address - Country:US
Practice Address - Phone:303-228-8871
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099280081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical