Healthcare Provider Details

I. General information

NPI: 1649328931
Provider Name (Legal Business Name): JULIE A GELWICK LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8089 S LINCOLN ST SUITE 203
LITTLETON CO
80122-2700
US

IV. Provider business mailing address

9181 W LAKE DR
LITTLETON CO
80123-8600
US

V. Phone/Fax

Practice location:
  • Phone: 720-840-9500
  • Fax:
Mailing address:
  • Phone: 720-840-9500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number992518
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: