Individual provider Active NPI

Shequeeta Barnes, MSW, LCSW

  • Clinical Social Worker
  • Fort Collins, CO
National Provider Identifier
1033778386
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW09927597 Issued in CO
Practice address
3800 Automation Way Ste 102
Fort Collins, CO 80525-3451
Phone
(970) 900-5835
NPI assigned
Jun 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X CSW09927597 CO Primary

Addresses

Primary practice location

3800 Automation Way Ste 102
Fort Collins, CO 80525-3451

Mailing address

3515 E Overland Rd
Meridian, ID 83642-6757
Phone (208) 605-7070

Other practice location 1

2000 S Colorado Blvd Ste 8000
Denver, CO 80222-7900
Phone (844) 257-0988

Other practice location 2

12365 Huron St Ste 1600
Westminster, CO 80234-3496
Phone (970) 528-5030

Other practice location 3

4565 Kendall Pkwy
Loveland, CO 80538-9268
Phone (970) 410-8228

Other practice location 4

12365 Huron St Ste 1800
Westminster, CO 80234-3297
Phone (970) 528-8715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW09927597COMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1033778386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 E OVERLAND RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426757",
            "telephone_number": "208-605-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 AUTOMATION WAY STE 102",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253451",
            "telephone_number": "970-900-5835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 S Colorado Blvd Ste 8000",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802227900",
            "country_code": "US",
            "telephone_number": "844-257-0988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12365 Huron St Ste 1600",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "802343496",
            "country_code": "US",
            "telephone_number": "970-528-5030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4565 Kendall Pkwy",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805389268",
            "country_code": "US",
            "telephone_number": "970-410-8228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12365 Huron St Ste 1800",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "802343297",
            "country_code": "US",
            "telephone_number": "970-528-8715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNES",
        "first_name": "SHEQUEETA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2024-07-25",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW09927597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.