Healthcare Provider Details

I. General information

NPI: 1326958513
Provider Name (Legal Business Name): SOPHIA TODD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10500 SMITH RD
DENVER CO
80239-3232
US

IV. Provider business mailing address

2530 S OSCEOLA ST
DENVER CO
80219-5747
US

V. Phone/Fax

Practice location:
  • Phone: 720-935-1468
  • Fax:
Mailing address:
  • Phone: 515-556-6063
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09933511
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: