Individual
KAILA NICOLE ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12303 AIRPORT WAY STE 125, BROOMFIELD, CO 80021-2729
(970) 310-3406
Mailing address
10 PINK CLOUD CT, NORWALK, CT 06851-3310
(919) 260-5169
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
1566621
NY
1041C0700X
Clinical Social Worker
Primary
09929791
CO
1041C0700X
Clinical Social Worker
13387
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09929791
COLORADO DEPARTMENT OF REGULATORY AGENCIES
CO
01
—
13387
CONNECTICUT DEPARTMENT OF PUBLIC HEALTH
CT
01
—
1566621
NEW YORK LMSW
NY
Enumeration date
09/06/2021
Last updated
11/19/2023
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