Organization · Type 2 NPI

Mindful Therapy Group of Colorado, P.c.

Clinical Social Worker · Boulder, CO

NPI number 1053274076 Active

Practice location

1790 38th St Ste 104
Boulder, CO 80301-2600

Fax (800) 377-1553

Mailing address

6505 216th St SW Ste 100
Mountlake Terrace, WA 98043-2089

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Psychologist 103TC0700XNone listed
Clinical Social Worker Primary 1041C0700XNone listed
Marriage & Family Therapist 106H00000XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1053274076

Mindful Therapy Group of Colorado, P.c.'s National Provider Identifier is 1053274076, issued on Dec 5, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boulder, CO. The record was last updated on Dec 5, 2025.