Provider Demographics
NPI:1871911008
Name:FOURNEY, SHELLEY (MSW, LSW, CSW)
Entity type:Individual
Prefix:MRS
First Name:SHELLEY
Middle Name:
Last Name:FOURNEY
Suffix:
Gender:F
Credentials:MSW, LSW, CSW
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 985
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:81423-0985
Mailing Address - Country:US
Mailing Address - Phone:970-327-4852
Mailing Address - Fax:
Practice Address - Street 1:1175 GRAND AVE.,
Practice Address - Street 2:UNIT 4
Practice Address - City:NORWOOD
Practice Address - State:CO
Practice Address - Zip Code:81423-0985
Practice Address - Country:US
Practice Address - Phone:970-327-4449
Practice Address - Fax:970-327-4676
Is Sole Proprietor?:No
Enumeration Date:2014-04-04
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLSW0009920483104100000X
COCSW099246581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker