NPI 1073401469 · live from the CMS NPI Registry
A Dementia Journey, LLC
Social Worker, Clinical in Canon City, CO. National Provider Identifier 1073401469, active.
NPI record
| NPI | 1073401469 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 49200 W Us Highway 50, Canon City, CO 81212 |
| Practice phone | 719-251-2568 |
| Enumerated | June 25, 2025 |
| Last updated | December 5, 2025 |
| Authorized official | Nancy Greenstreet, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.