NPI 1497320493 · live from the CMS NPI Registry
Actualize Behavior
Social Worker, Clinical in Littleton, CO. National Provider Identifier 1497320493, active.
NPI record
| NPI | 1497320493 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 5575 S Sycamore St Ste 108, Littleton, CO 80120 |
| Practice phone | 720-775-0151 |
| Mailing address | 9249 S Broadway Ste 811, Highlands Ranch, CO 80129 |
| Enumerated | May 21, 2021 |
| Last updated | July 1, 2021 |
| Authorized official | Elizabeth Earnest, Director |
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.