Provider Demographics
NPI:1649601071
Name:WILLIAMS, BRANDY (LSW)
Entity Type:Individual
Prefix:
First Name:BRANDY
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 INVERNESS DRIVE WEST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-5000
Mailing Address - Country:US
Mailing Address - Phone:303-783-7136
Mailing Address - Fax:303-761-1528
Practice Address - Street 1:155 INVERNESS DRIVE WEST
Practice Address - Street 2:SUITE 200
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-5000
Practice Address - Country:US
Practice Address - Phone:303-783-7136
Practice Address - Fax:303-761-1528
Is Sole Proprietor?:No
Enumeration Date:2013-12-11
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLSW.0009920186104100000X
COCSW.099242491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker