Provider Demographics
NPI:1174237838
Name:COLORADO SOCIAL WORK COLLABORATIVE, PLLC
Entity type:Organization
Organization Name:COLORADO SOCIAL WORK COLLABORATIVE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:BETHANY
Authorized Official - Middle Name:J
Authorized Official - Last Name:RAAB
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:720-722-0527
Mailing Address - Street 1:5353 W DARTMOUTH AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80227-5516
Mailing Address - Country:US
Mailing Address - Phone:720-722-0527
Mailing Address - Fax:720-722-5995
Practice Address - Street 1:5353 W DARTMOUTH AVE STE 203
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80227-5516
Practice Address - Country:US
Practice Address - Phone:720-722-0527
Practice Address - Fax:720-722-5995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty