Emilia Broadhurst Ealom, | |
4891 Independence St Ste 165, Wheat Ridge, CO 80033-6714 | |
(303) 456-0600 | |
(303) 456-0607 |
Full Name | Emilia Broadhurst Ealom |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 4891 Independence St Ste 165, Wheat Ridge, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588063978 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 9923634 (Colorado) | Primary |
Entity Name | Denver Health And Hospital Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477569838 PECOS PAC ID: 4688583578 Enrollment ID: O20031105000211 |
Mailing Address | Practice Location Address |
---|---|
Emilia Broadhurst Ealom, 4891 Independence St Ste 165, Wheat Ridge, CO 80033-6714 Ph: (303) 456-0600 | Emilia Broadhurst Ealom, 4891 Independence St Ste 165, Wheat Ridge, CO 80033-6714 Ph: (303) 456-0600 |
Claudette M Hertner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3210 Lutheran Pkwy, Wheat Ridge, CO 80033 Phone: 303-425-8000 Fax: 303-467-4925 | |
Mary Catherine Ross, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4851 Independence St, Wheat Ridge, CO 80033 Phone: 303-425-0300 | |
Stacey Spence, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4851 Independence St, Wheat Ridge, CO 80033 Phone: 303-425-0300 | |
Hannah Joslin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4851 Independence St, Wheat Ridge, CO 80033 Phone: 303-425-0300 | |
Tiffany Freer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4851 Independence St, 200, Wheat Ridge, CO 80033 Phone: 303-425-0300 Fax: 303-432-5071 | |
Rachelle Danielle Stroh, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4851 Independence St, Wheat Ridge, CO 80033 Phone: 303-425-0300 | |
Jordan Narissa Moilanen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4891 Independence St Ste 165, Wheat Ridge, CO 80033 Phone: 303-456-0660 |