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NPI 1184193757

NPI 1184193757 : LIA SEDGELEY, LCSW, MAC, CACIII, LLC : LAKEWOOD, CO

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General NPI Number Information
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    NPI Number           |    1184193757
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    Entity Type          |    Organization 
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    Legal Business Name  |    LIA SEDGELEY, LCSW, MAC, CACIII, LLC 
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Dates
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    Enumeration Date     |    11/13/2018
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    Last Update Date     |    11/21/2025
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Provider Practice Location Address
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    Address Line         |    12600 W. COLFAX AVE STE A110
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    City                 |    LAKEWOOD
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    State                |    CO
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    Zip                  |    80215-3785
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    Country              |    US
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    Telephone            |    303-419-6146
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    Fax                  |    303-474-6852
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Provider Business Mailing Address
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    Address Line         |    11757 W. KEN CARYL AVE STE F#143
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    City                 |    LITTLETON
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    State                |    CO
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    Zip                  |    80127-3719
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    Country              |    US
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    Telephone            |    303-419-6146
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    Fax                  |    303-474-6852
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Authorized Official
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    Title or Position    |    OWNER/THERAPIST
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    Name                 |     ELIZABETH  SEDGELEY 
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    Credential           |    LCSW
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    Telephone            |    303-419-6146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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