Provider Demographics
NPI:1912389990
Name:VETERANS ADMINISTRATION
Entity Type:Organization
Organization Name:VETERANS ADMINISTRATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MISS
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:LUND
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:720-322-3556
Mailing Address - Street 1:990 N LOGAN ST
Mailing Address - Street 2:#604
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-3064
Mailing Address - Country:US
Mailing Address - Phone:720-322-3556
Mailing Address - Fax:
Practice Address - Street 1:1055 CLERMONT ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3808
Practice Address - Country:US
Practice Address - Phone:303-399-8020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-25
Last Update Date:2015-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW .09923215286500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes286500000XHospitalsMilitary Hospital