Healthcare Provider Details

I. General information

NPI: 1811474075
Provider Name (Legal Business Name): LINDSEY SPRAKER LCSW, CTRS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2018
Last Update Date: 07/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1175 OSAGE STREET SUITE 205
DENVER CO
80204
US

IV. Provider business mailing address

1175 OSAGE STREET SUITE 205
DENVER CO
80204
US

V. Phone/Fax

Practice location:
  • Phone: 303-573-0839
  • Fax: 303-573-0849
Mailing address:
  • Phone: 303-573-0839
  • Fax: 303-573-0849

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberCSW-2081
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW-2081
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCSW-2081
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: