Healthcare Provider Details

I. General information

NPI: 1245150135
Provider Name (Legal Business Name): SABRINA EDELMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 FIEDLER AVE # 207
DILLON CO
80435-6930
US

IV. Provider business mailing address

305 S RIDGE ST UNIT 955
BRECKENRIDGE CO
80424-9033
US

V. Phone/Fax

Practice location:
  • Phone: 970-200-8563
  • Fax:
Mailing address:
  • Phone: 970-779-7248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLSW.0009927374
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: