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

Individual provider Clinical Social Worker · NPI 1003212200

Jessica Renee Kudlock, LCSW is a Clinical Social Worker in Denver, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2014
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

777 Bannock St
Denver, CO 80204-4507
Phone: (303) 602-7220
Fax: (303) 436-7381
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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 09923361 (CO)

Record details

NPI number1003212200
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 15, 2014
Last updated in NPPESNovember 15, 2014

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