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1881884674 NPI number — DANIELLE BROOKS ELDRED PSYD, MSW, LCSW

NPI Number: 1881884674
Health Care Provider/Practitioner: DANIELLE BROOKS ELDRED PSYD, MSW, LCSW

Information about “1881884674” NPI (DANIELLE BROOKS ELDRED PSYD, MSW, LCSW) exists in 1881884674 in HTML format HTML  |  1881884674 in plain Text format TXT  |  1881884674 in PDF (Portable Document Format) PDF  |  1881884674 in an XML format XML  formats.

NPI Number : 1881884674 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881884674",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ELDRED",
    "FirstName": "DANIELLE",
    "MiddleName": "BROOKS",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PSYD, MSW, LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BODEAU",
    "OtherFirstName": "DANIELLE",
    "OtherMiddleName": "BROOKS",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1500 N GRANT ST STE 4115",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DENVER",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80203-1859",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "720-258-6606",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "777 BANNOCK ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DENVER",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80204-4507",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "303-446-4949",
    "PracticeLocationAddressFaxNumber": "955-501-3487",
    "EnumerationDate": "07/27/2007",
    "LastUpdateDate": "06/12/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "103TC0700X",
          "TaxonomyName": "Clinical Psychologist",
          "LicenseNumber": "35698",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "CSW.09928079",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "LCSW65620",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103TC0700X",
          "TaxonomyName": "Clinical Psychologist",
          "LicenseNumber": "PSY.0006766",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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