Individual provider Active NPI

Samuel Wesley Harrison, LCSW, LAC

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1023751211
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09929734 Issued in CO
Practice address
6260 E Colfax Ave
Denver, CO 80220-1515
Phone
(303) 962-4498
NPI assigned
Apr 15, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09929734 CO Primary
Social Worker 104100000X LSW.0009923639 CO

Addresses

Primary practice location

6260 E Colfax Ave
Denver, CO 80220-1515

Mailing address

1290 Chambers Rd
Aurora, CO 80011-7117
Phone (303) 617-2300

Other practice location 1

791 Chambers Rd
Aurora, CO 80011-7112
Phone (303) 617-2300

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
I20240405002130 CO Practitioner - Clinical Social Worker 8921446253 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

791 Chambers Rd
Aurora, CO 80011-7112
Phone (303) 617-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSW.0009923639COMDSocial Worker
CSW.09929734COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Health Network, Inc CurrentSince Mar 1, 2024 Accepting new patients
Aurora Comprehensive Community Mental Health Center, Inc Community/Behavioral Health Current Accepting new patients
Aurora Comprehensive Community Mental Health Center, Inc Community/Behavioral Health CurrentSince Mar 18, 2025 Accepting new patients
Pride Path Wellness, LLC Clinical Current Accepting new patients
Aurora Comprehensive Community Mental Health Center, Inc CurrentSince Mar 18, 2025 Accepting new patients

Locations

791 Chambers Rd
Aurora, CO 80011
Phone (303) 923-2919

14301 E Hampden Ave
Aurora, CO 80014
Phone (303) 617-2600

1290 Chambers Rd
Aurora, CO 80011
Phone (303) 617-2715

6260 E Colfax Ave
Denver, CO 80220
Phone (303) 837-0166

Organizations & group practices 5

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": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1023751211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 CHAMBERS RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800117117",
            "telephone_number": "303-617-2300",
            "fax_number": "303-617-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6260 E COLFAX AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802201515",
            "telephone_number": "303-962-4498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "791 Chambers Rd",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800117112",
            "country_code": "US",
            "telephone_number": "303-617-2300",
            "fax_number": "303-617-2344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "SAMUEL",
        "middle_name": "WESLEY",
        "credential": "LCSW, LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-15",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09929734",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "LSW.0009923639",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.