Search › Colorado › 104100000X
Clayton Ickes, LSW
NPI 1952114456 · on the registry since 2025 · sole proprietor
Practice
- Address
- 6717 Valmont Rd
Boulder, CO 80301 - Phone
- (303) 434-9096
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-01-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado