Individual ProviderJulia KennedySocial WorkerBehavioral Health & Social Service ProvidersPractice Address125 Crestridge St Ste 1, Fort Collins, CO 80525-4472(970) 942-3031PECOS EnrollmentBased on the most recent information from CMS, provider Julia Kennedy 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 ID1952032831Provider TypeIndividualFull NameKennedy, JuliaCredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date6/21/2022Last Updated10/7/2024Contact InformationPractice LocationPractice Address125 Crestridge St Ste 1, Fort Collins, CO 80525-4472Phone(970) 942-3031FaxUnlisted FaxMailing LocationMailing Address125 Crestridge St Ste 1, Fort Collins, CO 80525-4472PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense09930974ColoradoCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense0000000825Colorado