Individual ProviderJanet D SeveranceSocial WorkerBehavioral Health & Social Service ProvidersPractice Address305 Carpenter Rd, Fort Collins, CO 80525-4248(970) 663-3500PECOS EnrollmentBased on the most recent information from CMS, provider Janet D Severance does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1902153786Provider TypeIndividualFull NameSeverance, Janet DGenderFemaleSole ProprietorNoEnumeration Date8/10/2012Last Updated10/1/2012Contact InformationPractice LocationPractice Address305 Carpenter Rd, Fort Collins, CO 80525-4248Phone(970) 663-3500Fax(970) 292-1085Mailing LocationMailing Address305 Carpenter Rd, Fort Collins, CO 80525-4248Phone(970) 663-3500Fax(970) 292-1085Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense591ColoradoProvider IdentifiersIDDescriptionIssuerID636882DescriptionOtherIssuerVALUE OPTIONS - COLORADO MEDICAID BEHAVIORAL HEALTHColorado