Healthcare Provider Details

I. General information

NPI: 1528856465
Provider Name (Legal Business Name): DAWN CROSSWHITE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2025
Last Update Date: 05/16/2025
Certification Date: 05/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3446 N HUMBOLDT ST
DENVER CO
80205-3938
US

IV. Provider business mailing address

3446 N HUMBOLDT ST
DENVER CO
80205-3938
US

V. Phone/Fax

Practice location:
  • Phone: 303-518-7316
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DAWN CROSSWHITE
Title or Position: OWNER
Credential:
Phone: 303-518-7316