KATIE BRYDON LCSW LACMAC NPI 1619308194

NPI Information

NPI: 1619308194
Provider Name: KATIE BRYDON, LCSW, LAC,MAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
11857 KEOUGH DR
NORTHGLENN, CO
ZIP 80233
Phone: (720) 401-2340
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Katie Brydon, LCSW, LAC,MAC is an addiction (substance use disorder) counselor in Northglenn, CO. Katie Brydon, LCSW, LAC,MAC NPI is 1619308194. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11857 KEOUGH DR
NORTHGLENN, CO
ZIP 80233-221
Phone: (720) 401-2340

The NPI 1619308194 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 12/9/2013 and was last updated on 10/27/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical	CSW.09924033	COLORADO	No
2	261Q00000X	Clinic/Center				No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	ACD0000390	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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