Healthcare Provider Details

I. General information

NPI: 1669200515
Provider Name (Legal Business Name): EVE SANDLER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2024
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 E ELIZABETH ST STE G2
FORT COLLINS CO
80524-4044
US

IV. Provider business mailing address

10371 W 59TH AVE APT 1
ARVADA CO
80004-6455
US

V. Phone/Fax

Practice location:
  • Phone: 970-493-9193
  • Fax:
Mailing address:
  • Phone: 720-762-7937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number09927659
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: