Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Audra Jean Gallogly, LCSW

Individual provider Clinical Social Worker · NPI 1912737842

Audra Jean Gallogly, LCSW is a Clinical Social Worker in Lafayette, Colorado. Qualified in 1992, 34 years ago. Practices as a sole proprietor. Licensed in Colorado.

Years since qualifying
34
Licensed in
CO
In the registry since
2024
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1120 W South Boulder Rd Ste 101B
Lafayette, CO 80026-8952
Phone: (303) 389-2793
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 00992163 (CO)

Record details

NPI number1912737842
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 5, 2024
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Not indicated

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