Individual
ANN M BOMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1630 DRY CREEK DR STE 100-B, LONGMONT, CO 80503-6409
(970) 310-3406
Mailing address
1630 DRY CREEK DR STE 100-B, LONGMONT, CO 80503-6409
(970) 310-3406
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW-993043
CO
1041C0700X
Clinical Social Worker
Primary
CSW.00993043
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61583014
—
CO
Enumeration date
04/30/2014
Last updated
03/31/2026
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