Provider Demographics
NPI:1104338524
Name:LANDY, JULIA CARLSON (LCSW)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:CARLSON
Last Name:LANDY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:COHEN
Other - Last Name:CARLSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:1325 S COLORADO BLVD STE 410
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-3341
Mailing Address - Country:US
Mailing Address - Phone:303-219-0299
Mailing Address - Fax:
Practice Address - Street 1:1325 S COLORADO BLVD STE 410
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-3341
Practice Address - Country:US
Practice Address - Phone:720-282-9557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-25
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLSW.9921673104100000X
COCSW.099263471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker