Provider Demographics
NPI:1093039448
Name:GILMAN, NIJA ELAINE (LCSW)
Entity Type:Individual
Prefix:
First Name:NIJA
Middle Name:ELAINE
Last Name:GILMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12567 W CEDAR DR STE 101
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-2009
Mailing Address - Country:US
Mailing Address - Phone:303-691-6095
Mailing Address - Fax:303-376-6372
Practice Address - Street 1:12567 W CEDAR DR STE 101
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-2009
Practice Address - Country:US
Practice Address - Phone:303-691-6095
Practice Address - Fax:303-376-6372
Is Sole Proprietor?:No
Enumeration Date:2010-03-15
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO14761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical