Healthcare Provider Details

I. General information

NPI: 1285565234
Provider Name (Legal Business Name): ANDREW MITCHELL LSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2130 STOUT ST
DENVER CO
80205-2827
US

IV. Provider business mailing address

2130 STOUT ST
DENVER CO
80205-2827
US

V. Phone/Fax

Practice location:
  • Phone: 303-293-2220
  • Fax:
Mailing address:
  • Phone: 303-293-2220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLSW.0009927425
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: