CANYON TREE PSYCHOTHERAPY, LLC
NPI 1720522626
Social Worker - Clinical in Thornton, CO

Active since December 12, 2016
9351 GRANT ST, 480, THORNTON, CO 80229(720) 442-4506 Get Directions Write a Review

NPPES record last updated: December 12, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Social Worker
  • Clinical

About CANYON TREE PSYCHOTHERAPY, LLC

This page provides the complete NPI Profile along with additional information for Canyon Tree Psychotherapy, Llc, a provider established in Thornton, Colorado operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1720522626 assigned on December 2016. The practitioner's primary taxonomy code is 1041C0700X with license number 993043 (CO). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ann M Bomberg Lcsw (Owner/practictioner)

NPI
1720522626 Verify this NPI
Provider Name
CANYON TREE PSYCHOTHERAPY, LLC
Entity Type
Organization
Location Address
9351 GRANT ST 480 THORNTON, CO 80229
Location Phone
(720) 442-4506
Mailing Address
11829 RIDGE PKWY 632 BROOMFIELD, CO 80021
Mailing Phone
(720) 442-4506
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-12-2016
Last Update Date
12-12-2016
Code Navigator

A clinical social worker like Canyon Tree Psychotherapy, Llc is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
993043
License State
CO
Taxonomy Description
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANN M BOMBERG LCSW

Authorized Official Title
OWNER/PRACTICTIONER
Authorized Official Phone
(720) 442-4506

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dentist (General Practice)
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Neuromusculoskeletal Medicine & OMM
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Physical Therapist
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Physical Therapist
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Physical Therapist
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Specialist
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Surgery
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Orthopaedic Surgery
9351 GRANT ST, # 360
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Specialist
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THORNTON, CO 80229
Obstetrics & Gynecology
9351 GRANT ST, SUITE 560
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Physician Assistant
9351 GRANT ST, STE 100
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Podiatrist (Foot & Ankle Surgery)
9351 GRANT ST, SUITE 490
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Podiatrist (Foot & Ankle Surgery)
9351 GRANT ST, SUITE 490
THORNTON, CO 80229
Physical Therapist
9351 GRANT ST, SUITE 430
THORNTON, CO 80229
Physical Therapy Assistant
9351 GRANT ST, SUITE #430
THORNTON, CO 80229
Dentist
9351 GRANT ST, SUITE 340
THORNTON, CO 80229
Physician Assistant
9351 GRANT ST, SUITE 100
THORNTON, CO 80229
Physical Therapist (Orthopedic)
9351 GRANT ST, SUITE 430
THORNTON, CO 80229
Physical Therapist
9351 GRANT ST, STE 430
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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720522626, enumerated as an "organization" on December 12, 2016.

The provider is located at 9351 GRANT ST 480 THORNTON, CO 80229 and the phone number is (720) 442-4506.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.