Provider Demographics
NPI:1538385034
Name:STUBBS, JAMES BRAD (MSW)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:BRAD
Last Name:STUBBS
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 UNION BLVD
Mailing Address - Street 2:#221
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228
Mailing Address - Country:US
Mailing Address - Phone:303-987-3444
Mailing Address - Fax:303-987-3455
Practice Address - Street 1:445 UNION BLVD
Practice Address - Street 2:#221
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228
Practice Address - Country:US
Practice Address - Phone:303-987-3444
Practice Address - Fax:303-987-3455
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9860731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical