Wellformed AI

NPI 1710884549 · live from the CMS NPI Registry

5280 Sports Counseling

Social Worker, Clinical in Englewood, CO. National Provider Identifier 1710884549, active.

NPI record

NPI1710884549 Type 2 · organization
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location4045 S Broadway Ste 203, Englewood, CO 80113
Practice phone303-319-6225
Mailing address2429 S Xanadu Way Unit D, Aurora, CO 80014
EnumeratedOctober 23, 2026
Last updatedOctober 23, 2026
Authorized officialSollita Lucero, Owner/Clinician

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.