Provider Demographics
NPI:1295171791
Name:HAMPTON, SARA (MSW)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:HAMPTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:5280 W 17TH AVE APT 104
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80214-1709
Mailing Address - Country:US
Mailing Address - Phone:303-661-7245
Mailing Address - Fax:
Practice Address - Street 1:2620 S PARKER RD STE 185
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-1626
Practice Address - Country:US
Practice Address - Phone:720-347-8559
Practice Address - Fax:720-207-6885
Is Sole Proprietor?:No
Enumeration Date:2013-05-12
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012019418104100000X
COCSW.099246191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker