Active NPI
Wellsprings of Healing LLC
- Clinical Social Worker
- Lafayette, CO
National Provider Identifier
1023468576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- WELLSPRINGS OF HEALING LLC
- Practice address
- 400 E Simpson St Ste 105
Lafayette, CO 80026-2359 - Phone
- (303) 669-2982
- NPI assigned
- Jun 15, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Suzanne Dumond, MSW
- Title
- Licensed Clinical Social Worker
- Phone
- (303) 669-2982
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
400 E Simpson St Ste 105
Lafayette, CO 80026-2359
Mailing address
400 E Simpson St Ste 105
Lafayette, CO 80026-2359
Phone (303) 669-2982
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 53381785 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
400 E Simpson St
Ste 105
Lafayette, CO 80026
Phone (303) 669-2982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465948800000",
"number": "1023468576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E SIMPSON ST STE 105",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800262359",
"telephone_number": "303-669-2982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E SIMPSON ST STE 105",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800262359",
"telephone_number": "303-669-2982"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLSPRINGS OF HEALING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-15",
"last_updated": "2016-06-15",
"status": "A",
"authorized_official_last_name": "DUMOND",
"authorized_official_first_name": "SUZANNE",
"authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "303-669-2982",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "53381785",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.