Active NPI
Michelle Vaudreuil, MSW, SSW, SWP
- School Social Worker
- Denver, CO
National Provider Identifier
1043716467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 213096
- Practice address
- 2950 Tennyson St
Denver, CO 80212-3029 - Phone
- (720) 855-3446
- NPI assigned
- Apr 4, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0001315 | CO | |
| School Social Worker | 1041S0200X | 213096 | CO | Primary |
Addresses
Primary practice location
2950 Tennyson St
Denver, CO 80212-3029
Mailing address
2950 Tennyson St
Denver, CO 80212-3029
Phone (720) 855-3446
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001315 | CO | MD | Clinical Social Worker |
| 213096 | CO | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522800000000",
"number": "1043716467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2950 TENNYSON ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802123029",
"telephone_number": "720-855-3446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 TENNYSON ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802123029",
"telephone_number": "720-855-3446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUDREUIL",
"first_name": "MICHELLE",
"credential": "MSW, SSW, SWP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-04",
"last_updated": "2018-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "0001315",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "CO",
"license": "213096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.