Provider Demographics
NPI:1437869393
Name:BRENNAN, COLE POMEROY (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:COLE
Middle Name:POMEROY
Last Name:BRENNAN
Suffix:
Gender:M
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1967 S YATES ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80219-5050
Mailing Address - Country:US
Mailing Address - Phone:617-301-0003
Mailing Address - Fax:
Practice Address - Street 1:1880 S PIERCE ST STE 18G
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80232-7191
Practice Address - Country:US
Practice Address - Phone:970-627-7229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-01
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLSW.00099226691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical