Healthcare Provider Details

I. General information

NPI: 1720914450
Provider Name (Legal Business Name): SAMANTHA FELLER LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

739 N SHERMAN ST
DENVER CO
80203-3519
US

IV. Provider business mailing address

10341 NELSON ST
WESTMINSTER CO
80021-3712
US

V. Phone/Fax

Practice location:
  • Phone: 720-282-0750
  • Fax:
Mailing address:
  • Phone: 201-658-4060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number0009927499
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: