Healthcare Provider Details

I. General information

NPI: 1689507261
Provider Name (Legal Business Name): ANNA PENDLETON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2406 W 32ND AVE STE D
DENVER CO
80211-3373
US

IV. Provider business mailing address

5165 SANTA CLARA PL APT C
BOULDER CO
80303-4169
US

V. Phone/Fax

Practice location:
  • Phone: 720-288-0706
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09933259
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: