Healthcare Provider Details
I. General information
NPI: 1033086848
Provider Name (Legal Business Name): MADISON TAYLOR STIEB
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/17/2025
Last Update Date: 10/21/2026
Certification Date: 10/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5460 WARD RD STE 150
ARVADA CO
80002-1828
US
IV. Provider business mailing address
4079 N QUATAR CT
AURORA CO
80019-3651
US
V. Phone/Fax
- Phone: 970-680-1910
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | CSW.09933250 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | SWC.0000001910 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: