Provider Demographics
NPI:1801550314
Name:PACKINGHAM, AARON CODY (LCSW)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:CODY
Last Name:PACKINGHAM
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7230 WOLFF ST
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80030-5116
Mailing Address - Country:US
Mailing Address - Phone:217-417-3804
Mailing Address - Fax:
Practice Address - Street 1:2801 YOUNGFIELD ST STE 3000
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-2263
Practice Address - Country:US
Practice Address - Phone:217-417-3804
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-30
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical