Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Justin Tyler Clum, LSW

Individual provider Behavior Technician · NPI 1457999864

Mr. Justin Tyler Clum, LSW is a Behavior Technician in Denver, Colorado. Works from 2 locations. Licensed in Colorado.

Licensed in
CO
In the registry since
2019
Specialties on file
2
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

4455 E 12th Ave
Denver, CO 80220-2415
Phone: (303) 504-7700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3111 N Tustin St # 100o, Orange, CA 92865-1750 — (714) 835-5587

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence LSW.0009925822 (CO)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1457999864
Entity typeIndividual (Type 1)
GenderMale
Credentials LSW
Sole proprietorNo
NPI enumeratedDecember 16, 2019
Last updated in NPPESMarch 4, 2025
Certification dateMarch 4, 2025

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