Provider Demographics
NPI:1952500233
Name:BROOKHART, MARILYN H (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MARILYN
Middle Name:H
Last Name:BROOKHART
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:MARILYN
Other - Middle Name:
Other - Last Name:HUGHES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:7500 E ARAPAHOE RD
Mailing Address - Street 2:305
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1275
Mailing Address - Country:US
Mailing Address - Phone:303-773-9535
Mailing Address - Fax:303-703-9445
Practice Address - Street 1:7500 E ARAPAHOE RD
Practice Address - Street 2:305
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1275
Practice Address - Country:US
Practice Address - Phone:303-773-9535
Practice Address - Fax:303-703-9445
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-16
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO989242101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
61266Medicare PIN