Healthcare Provider Details

I. General information

NPI: 1114849650
Provider Name (Legal Business Name): ROBYN ELICE WERTHEIMER-HODAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 S COLORADO BLVD # 8000
DENVER CO
80222-7900
US

IV. Provider business mailing address

PO BOX 100092
DENVER CO
80250-0092
US

V. Phone/Fax

Practice location:
  • Phone: 844-843-7279
  • Fax:
Mailing address:
  • Phone: 720-432-7867
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number00992188
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: