MEDICARE: MR. JAMES EDWARD NEE HUNDLEY LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	0009920308	CO
2	1041C0700X	Clinical Social Worker	09924241	CO

General Provider Information

NPI Number	:	1932598679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES EDWARD NEE HUNDLEY LCSW

Provider Business Mailing Address
First Line	:	2253 N DOWNING ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80205-5234
Country	:	US
Telephone Number	:	303-395-9748
Fax Number	:

Provider Business Practice Location Address
First Line	:	2253 N DOWNING ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80205-5234
Country	:	US
Telephone Number	:	303-395-9748
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2015
Last Update Date	:	12/17/2025

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