Healthcare Provider Details

I. General information

NPI: 1184028250
Provider Name (Legal Business Name): ALYSSA L WERMERS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2014
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 E SIMPSON ST STE 230
LAFAYETTE CO
80026-2360
US

IV. Provider business mailing address

6564 E 165TH CT
BRIGHTON CO
80602-6046
US

V. Phone/Fax

Practice location:
  • Phone: 970-415-7974
  • Fax:
Mailing address:
  • Phone: 970-415-7974
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLSW.0009920011
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09923857
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: