Provider Demographics
NPI:1871323642
Name:MURRAY, NICOLE MEYERKOPF VASQUEZ (CSW, MSW)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:MEYERKOPF VASQUEZ
Last Name:MURRAY
Suffix:
Gender:F
Credentials:CSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 1/2 HOMESTEAD DR.
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80863
Mailing Address - Country:US
Mailing Address - Phone:201-400-0242
Mailing Address - Fax:
Practice Address - Street 1:509 SCOTT AVE STE 2D
Practice Address - Street 2:
Practice Address - City:WOODLAND PARK
Practice Address - State:CO
Practice Address - Zip Code:80863-1294
Practice Address - Country:US
Practice Address - Phone:719-286-9077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COSWC.00000020681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical