Carley Cohen-Fox, MSW LCSW CMC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW 727 Issued in CO

Practice address

2935 Baseline Rd
Ste. 302
Boulder, CO 80303-2366

Phone

(303) 875-2364

NPI assigned

Sep 10, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Autumn Tree Therapy

  • Clinical Social Worker
  • Boulder, CO
  • NPI 1750812889
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1053644922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 BASELINE RD",
            "address_2": "STE. 302",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032366",
            "telephone_number": "303-875-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2935 BASELINE RD",
            "address_2": "STE. 302",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032366",
            "telephone_number": "303-875-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN-FOX",
        "first_name": "CARLEY",
        "name_prefix": "Ms.",
        "credential": "MSW LCSW CMC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "LCSW 727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54105081",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzita Cochran, PHD
• Coco Eye Surgery Boulder, PLLC
• Esme Cody, L.AC.
• Sarah Jane Coffey, LPCC
• Jeffrey Morris Coffman
• Ben Cohen, PH.D.
• Dana Hope Cohen, LPCC
• Daniel Craig Cohen, DDS PA
• Eliot Ezra Bruce Cohen
• Emily Cohen, LCSW

• Clinical Social Worker in Boulder, CO
• Providers in Boulder, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.