Individual provider Active NPI

Marina Klier, LCSW, MSW, MED

  • Clinical Social Worker
  • Lakewood, CO
National Provider Identifier
1053047233
Registry record updated Dec 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2024011782 Issued in MO
Practice address
1090 S Wadsworth Blvd
Unit C #3458
Lakewood, CO 80226
Phone
(314) 328-9984
NPI assigned
Jul 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2024

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 2024011782 MO Primary

Addresses

Primary practice location

1090 S Wadsworth Blvd
Unit C #3458
Lakewood, CO 80226

Mailing address

400 Lily LN
Golden, CO 80403-1925
Phone (314) 744-1972

Other practice location 1

4212 Juniata St Apt A
Saint Louis, MO 63116-1908
Phone (314) 744-1972

Other practice location 2

1804 Lafayette Ave # 2W
Saint Louis, MO 63104-2508
Phone (314) 296-3222

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
2024011782MOMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734825600000",
    "number": "1053047233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LILY LN",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804031925",
            "telephone_number": "314-744-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 S WADSWORTH BLVD",
            "address_2": "UNIT C #3458",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80226",
            "telephone_number": "314-328-9984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4212 Juniata St Apt A",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631161908",
            "country_code": "US",
            "telephone_number": "314-744-1972",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1804 Lafayette Ave # 2W",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631042508",
            "country_code": "US",
            "telephone_number": "314-296-3222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLIER",
        "first_name": "MARINA",
        "credential": "LCSW, MSW, MED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2024-12-22",
        "certification_date": "2024-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2024011782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.