MEDICARE: KELSON BRIGHTON LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	0009922602	CO
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1134775505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELSON BRIGHTON LCSW

Provider Business Mailing Address
First Line	:	408 19TH ST
Second Line	:
City	:	GOLDEN
State	:	CO
Zip	:	80401-2435
Country	:	US
Telephone Number	:	203-803-3616
Fax Number	:

Provider Business Practice Location Address
First Line	:	1330 FOX ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-2602
Country	:	US
Telephone Number	:	203-803-3616
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2019
Last Update Date	:	12/03/2025

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Directions to “ KELSON BRIGHTON LCSW” Practice Location

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