Provider Demographics
NPI:1992816979
Name:O'MALLEY, DON J JR (LCSW CACII SAP CEAP)
Entity type:Individual
Prefix:MR
First Name:DON
Middle Name:J
Last Name:O'MALLEY
Suffix:JR
Gender:M
Credentials:LCSW CACII SAP CEAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 115
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-0115
Mailing Address - Country:US
Mailing Address - Phone:720-244-3491
Mailing Address - Fax:
Practice Address - Street 1:2055 SOUTH ONEIDA #320
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224
Practice Address - Country:US
Practice Address - Phone:720-244-3491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9920581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical