Individual provider Active NPI

Phillip Horner, LCSW

  • Clinical Social Worker
  • Boulder, CO
National Provider Identifier
1003285719
Registry record updated May 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09923711 Issued in CO
Practice address
100 Arapahoe Ave Ste 9
Boulder, CO 80302-5854
Phone
(720) 316-7774
NPI assigned
Sep 23, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09923711 CO Primary

Addresses

Primary practice location

100 Arapahoe Ave Ste 9
Boulder, CO 80302-5854

Mailing address

100 Arapahoe Ave Ste 9
Boulder, CO 80302-5854
Phone (720) 316-7774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230915002092 CO Practitioner - Clinical Social Worker 5698047595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Whole Connection LLCGroup PAC ID 1557725074, 5 clinicians

Practice addresses (Care Compare)

5335 W 48TH Ave
FL 5
Denver, CO 80212-2731
Phone (720) 442-0946

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Connection LLC Clinical CurrentSince Jun 26, 2023 Accepting new patients
Whole Connection LLC Clinical Current Accepting new patients

Locations

6870 W 52nd Ave
Ste 102
Arvada, CO 80002
Phone (303) 534-0391

100 Arapahoe Ave
Ste 14
Boulder, CO 80302
Phone (303) 300-7448

100 Arapahoe Ave
Ste 9
Boulder, CO 80302
Phone (303) 900-8378

5335 W 48th Ave
Fl 5
Denver, CO 80212
Phone (720) 442-0946

Networks

  • CO HMO
  • CO HMO D-SNP
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • NM HMO C-SNP

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525478400000",
    "number": "1003285719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ARAPAHOE AVE STE 9",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025854",
            "telephone_number": "720-316-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ARAPAHOE AVE STE 9",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025854",
            "telephone_number": "720-316-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNER",
        "first_name": "PHILLIP",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-23",
        "last_updated": "2018-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09923711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.