Provider Demographics
NPI:1558763144
Name:SHELTON, LAUREN (LCSW, LAC)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:SHELTON
Suffix:
Gender:F
Credentials:LCSW, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:635 S GLENCOE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1402
Mailing Address - Country:US
Mailing Address - Phone:720-933-2219
Mailing Address - Fax:
Practice Address - Street 1:1325 S COLORADO BLVD STE B-108
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-3303
Practice Address - Country:US
Practice Address - Phone:720-933-2219
Practice Address - Fax:303-648-5854
Is Sole Proprietor?:No
Enumeration Date:2014-09-25
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACD0000798101YA0400X
171M00000X
COCSW99245931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No171M00000XOther Service ProvidersCase Manager/Care Coordinator