Emilia Broadhurst Ealom, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.09923634 Issued in CO

Practice address

4891 Independence St Ste 165
Wheat Ridge, CO 80033-6714

Phone

(303) 456-0600

Fax

(303) 456-0607

NPI assigned

Aug 21, 2014

Last updated

Feb 6, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

University Physicians IncorporatedGroup PAC ID 3476465667, 3,189 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University Physicians Incorporated

  dba CU Medicine

  • Internal Medicine Physician
  • Aurora, CO
  • NPI 1962461889
  Medicare reassignment Care Compare group NPD (past)
• Centered Wellness Therapy PLLC

  • Clinical Social Worker
  • Aurora, CO
  • NPI 1225895592
  NPD Authorized official
• University Physicians Incorporated

  dba CU Internal Medicine - Lowry

  • Internal Medicine Physician
  • Denver, CO
  • NPI 1114407145
  NPD
• University Physicians, Incorporated

  dba CU Sports Medicine Colorado Center

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Denver, CO
  • NPI 1275045049
  NPD
• University Physicians, Incorporated

  dba Moh's Histo Lab

  • Clinical Medical Laboratory
  • Aurora, CO
  • NPI 1396793899
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1588063978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4891 INDEPENDENCE ST STE 165",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336714",
            "telephone_number": "303-456-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4891 INDEPENDENCE ST STE 165",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336714",
            "telephone_number": "303-456-0600",
            "fax_number": "303-456-0607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1635 Aurora Ct",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800452541",
            "country_code": "US",
            "telephone_number": "720-848-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EALOM",
        "first_name": "EMILIA",
        "middle_name": "BROADHURST",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-21",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09923634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Michelle Dye, LMT
• Janet Gould Dyer, RN
• Maksym Stefan Dymek, M.D.
• E Plus Pet Imaging X LP (PET Imaging of Wheat Ridge)
• Sarah Diane Eachus, LSW
• Emily Eberhart, LPCC
• Dustin Ebner, DDS
• Norman W. Ebner, D.D.S.
• Marci Erin Edford, FNP-C
• Jeremy Michael Edgett

• Clinical Social Worker in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.