Healthcare Provider Details

I. General information

NPI: 1629805569
Provider Name (Legal Business Name): LAUREN WILKERSON MSW, LCSW, CAIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2024
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1830 N FRANKLIN ST STE 500
DENVER CO
80218-1169
US

IV. Provider business mailing address

19100 J MORGAN BLVD
PARKER CO
80134-5668
US

V. Phone/Fax

Practice location:
  • Phone: 720-603-9152
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09932697
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: