Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Diane Jo Dettloff

Individual provider Clinical Social Worker · NPI 1245947670

Diane Jo Dettloff is a Clinical Social Worker in Mancos, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2022
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Practice location Address checks out

35815 Road P.5
Mancos, CO 81328-8798
Phone: (970) 570-9673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW.09925569 (CO)

Record details

NPI number1245947670
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 4, 2022
Last updated in NPPESNovember 4, 2022
Certification dateNovember 4, 2022
Mailing address35815 Road P.5, Mancos, CO 81328-8798

Other providers in Mancos