Healthcare Provider Details

I. General information

NPI: 1801644463
Provider Name (Legal Business Name): SARAH BILINOVICH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2024
Last Update Date: 05/14/2024
Certification Date: 05/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4251 KIPLING ST
WHEAT RIDGE CO
80033-2896
US

IV. Provider business mailing address

PO BOX 150686
LAKEWOOD CO
80215-0686
US

V. Phone/Fax

Practice location:
  • Phone: 720-773-1670
  • Fax:
Mailing address:
  • Phone: 720-773-1670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWC.0000001400
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: