MEDICARE: JUSTIN WILSON 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	CSW.09932673	CO

General Provider Information

NPI Number	:	1194683466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSTIN WILSON LCSW

Provider Business Mailing Address
First Line	:	1500 N GRANT ST STE R
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-1859
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 N GRANT ST STE R
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-1859
Country	:	US
Telephone Number	:	810-278-4287
Fax Number	:

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

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

Similar Medicare Providers

1316813587 — TRANSFORM & THRIVE COUNSELING, PLLC
Practice Location Address:

1500 N GRANT ST STE R
DENVER, CO
80203-1859

Practice Phone: 720-796-9785
Practice Fax:

1194445445 — MALIA JACKSON MA, LPC
Practice Location Address:

1500 N GRANT ST , ST R
DENVER, CO
80203-1859

Practice Phone: 720-796-9785
Practice Fax:

1831811827 — MARGARET KATHLEEN DAGGETT
Practice Location Address:

1500 N GRANT ST
DENVER, CO
80203-1859

Practice Phone: 612-718-5994
Practice Fax:

1689159998 — KATHERINE SAAVEDRA SWC
Practice Location Address:

1500 N GRANT ST STE R
DENVER, CO
80203-1859

Practice Phone: 408-355-8497
Practice Fax:

1639038730 — GROUNDED ACTION COUNSELING
Practice Location Address:

1500 N GRANT ST STE R
DENVER, CO
80203-1859

Practice Phone: 720-740-1710
Practice Fax:

1881463453 — MR. SEAN BRUNDRETT LCSW, LAC
Practice Location Address:

1500 N GRANT ST STE R
DENVER, CO
80203-1859

Practice Phone: 720-740-1710
Practice Fax:

Directions to “ JUSTIN WILSON LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.