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

Emilia Broadhurst Ealom, LCSW

Individual provider Clinical Social Worker · NPI 1588063978

Emilia Broadhurst Ealom, LCSW is a Clinical Social Worker in Wheat Ridge, Colorado. Qualified in 2012, 14 years ago. Practices with University Physicians Incorporated, a 3,148-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
14
Licensed in
CO
In the registry since
2014
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

4891 Independence St Ste 165
Wheat Ridge, CO 80033-6714
Phone: (303) 456-0600
Fax: (303) 456-0607
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1635 Aurora Ct, Aurora, CO 80045-2541 — (720) 848-0000

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW.09923634 (CO)

Record details

NPI number1588063978
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 21, 2014
Last updated in NPPESFebruary 6, 2026
Certification dateFebruary 6, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice University Physicians Incorporated — 3148 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Wheat Ridge