Healthcare Provider Details

I. General information

NPI: 1134801681
Provider Name (Legal Business Name): SHANNON MURPHY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2023
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17301 W COLFAX AVE STE 275
GOLDEN CO
80401-4886
US

IV. Provider business mailing address

5962 ANVIL CT
GOLDEN CO
80403-1025
US

V. Phone/Fax

Practice location:
  • Phone: 303-962-4304
  • Fax:
Mailing address:
  • Phone: 773-398-1150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLSW.0009924910
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: