Healthcare Provider Details

I. General information

NPI: 1356142897
Provider Name (Legal Business Name): HALLE GERASH LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2025
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 N GRANT ST STE 600
DENVER CO
80203-4309
US

IV. Provider business mailing address

140 W 10TH AVE APT 913
DENVER CO
80204-4234
US

V. Phone/Fax

Practice location:
  • Phone: 303-219-0816
  • Fax:
Mailing address:
  • Phone: 303-476-0466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09931179
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: