Provider Demographics
NPI:1023298239
Name:SEDGELEY, ELIZABETH PATZAU (LCSW)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:PATZAU
Last Name:SEDGELEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:VALLY
Other - Last Name:PATZAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW, MAC, CAC III
Mailing Address - Street 1:11757 W KEN CARYL AVE
Mailing Address - Street 2:STE F #143
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-3719
Mailing Address - Country:US
Mailing Address - Phone:303-419-6146
Mailing Address - Fax:303-474-6852
Practice Address - Street 1:7475 W 5TH AVE
Practice Address - Street 2:STE 201B
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-1675
Practice Address - Country:US
Practice Address - Phone:303-419-6146
Practice Address - Fax:303-474-6852
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-06
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6713101YA0400X
CO099231411041C0700X
COCSW.099231411041C0700X
COACC.0006713101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000155394Medicaid