Healthcare Provider Details

I. General information

NPI: 1437078284
Provider Name (Legal Business Name): LILY JENNINGS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3955 E EXPOSITION AVE
DENVER CO
80209-5000
US

IV. Provider business mailing address

920 N PENNSYLVANIA ST APT 1
DENVER CO
80203-3157
US

V. Phone/Fax

Practice location:
  • Phone: 720-926-6766
  • Fax:
Mailing address:
  • Phone: 413-464-6974
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number0009926835
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: