Justin Mallen, MSW, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LSW.0009924579 Issued in CO

Practice address

6490 W 44TH Ave
Wheat Ridge, CO 80033-4738

Phone

(720) 432-9576

NPI assigned

May 8, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1710509047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 LIPAN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044312",
            "telephone_number": "720-432-9576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6490 W 44TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334738",
            "telephone_number": "720-432-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLEN",
        "first_name": "JUSTIN",
        "credential": "MSW, LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-08",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "LSW.0009924579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles William Mains, MD
• Tabitha D Majekodunmi
• Gilexis Maldonado
• Sara Mallatt
• Jennifer De Toledo Mallek, M.D.
• Taylor Mallory, FNP
• Sara K Malnati
• Ronald J Malpiede, D.C, P.C.
• Sakshi Manchanda
• Joshua A Mann

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.