Healthcare Provider Details

I. General information

NPI: 1083159735
Provider Name (Legal Business Name): MOLLY BIERMAN PMHNP, LICSW, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2017
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 DISCOVERY PKWY STE 250
SUPERIOR CO
80027-8762
US

IV. Provider business mailing address

500 DISCOVERY PKWY STE 250
SUPERIOR CO
80027-8762
US

V. Phone/Fax

Practice location:
  • Phone: 720-712-0306
  • Fax: 720-302-1505
Mailing address:
  • Phone: 720-712-0306
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberC-APN.0104941-C-NP
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number281439
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberISW02689
License Number StateRI
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09924525
License Number StateCO
# 5
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: