Carrie Leigh Gavitt, MSW, LCSW, LAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

830 Issued in CO

Practice address

3615 Roberts Rd
Colorado Springs, CO 80907

Phone

(719) 473-4460

NPI assigned

Aug 31, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valor Program at Embrave LLCGroup PAC ID 3173053931, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Valor Program at Embrave LLC

  • Community/Behavioral Health Agency
  • Colorado Springs, CO
  • NPI 1528807013
  Medicare reassignment Care Compare group NPD
• Valor Program at Embrave LLC

  • Family Medicine Physician
  • Colorado Springs, CO
  • NPI 1952145146
  NPD
• Comcor, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Colorado Springs, CO
  • NPI 1497024590
  NPD (past)

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1053692392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 ROBERTS RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075352",
            "telephone_number": "719-473-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 ROBERTS RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80907",
            "telephone_number": "719-473-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVITT",
        "first_name": "CARRIE",
        "middle_name": "LEIGH",
        "credential": "MSW, LCSW, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-31",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Gauvin
• Anne Gavenas, MD
• Rebecca Gavieiro
• Jamie A Gavin, MA, LPC
• Kenneth Gavin, C.O., M.ED
• Sarah Sharon Gaw, MSPT
• Susan Gawey Apgar, M.S., CCC-SLP
• Jillian Gawley, RBT
• Matthew Gaworski, D.D.S
• Kourtney Gay, BCBA

• Clinical Social Worker in Colorado Springs, CO
• Providers in Colorado Springs, 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 Jun 5, 2018; 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.