Healthcare Provider Details

I. General information

NPI: 1982568531
Provider Name (Legal Business Name): JILLIAN BROOKE SWANSON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 W 9TH AVE UNIT 3213
DENVER CO
80204-4055
US

IV. Provider business mailing address

150 W 9TH AVE UNIT 3213
DENVER CO
80204-4055
US

V. Phone/Fax

Practice location:
  • Phone: 720-308-5212
  • Fax:
Mailing address:
  • Phone: 720-308-5212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09932536
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: