Provider Demographics
NPI:1720601370
Name:PRESPER, HILLARY (LSW)
Entity Type:Individual
Prefix:
First Name:HILLARY
Middle Name:
Last Name:PRESPER
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 1:205 BERTHOUD WAY
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-4813
Mailing Address - Country:US
Mailing Address - Phone:330-730-3505
Mailing Address - Fax:
Practice Address - Street 1:4704 HARLAN ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80212-7415
Practice Address - Country:US
Practice Address - Phone:872-256-8367
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-18
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLSW.0009922406104100000X
COCSW.099274231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker