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NPI Code Detail

MEDICARE: MR. SEAN BRUNDRETT LCSW, LAC

MEDICARE:  MR. SEAN  BRUNDRETT  LCSW, LAC
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
11041C0700XClinical Social Worker5071880ID
2101YA0400XAddiction (Substance Use Disorder) CounselorACD.0002445CO
31041C0700XClinical Social WorkerSWB-2025-1385NM
41041C0700XClinical Social WorkerLC24674ME
51041C0700XClinical Social WorkerCSW.09930834CO
61041C0700XClinical Social Worker14245304-3501UT
71041C0700XClinical Social WorkerTPSW6000FL

General Provider Information

NPI Number : 1881463453
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SEAN BRUNDRETT LCSW, LAC
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 : 720-740-1710
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 : 720-740-1710
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/25/2023
Last Update Date : 01/15/2026

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Directions to “ MR. SEAN BRUNDRETT LCSW, LAC” Practice Location

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