Provider Demographics
NPI:1023844834
Name:BOBADILLA, BRITTNEY (LCSW)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:
Last Name:BOBADILLA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12723 DEXTER CT
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80241-3098
Mailing Address - Country:US
Mailing Address - Phone:720-938-9486
Mailing Address - Fax:
Practice Address - Street 1:12723 DEXTER CT
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80241-3098
Practice Address - Country:US
Practice Address - Phone:720-938-9486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-09
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099308161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical