Individual provider Active NPI

Belina Fruitman, LCSW, CACLLL

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1053753525
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
991936 Issued in CO
Practice address
8751 E Hampden Ave Ste B2
Denver, CO 80231-4929
Phone
(303) 523-0621
NPI assigned
Jul 24, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CO
Clinical Social Worker 1041C0700X 991936 CO Primary

Addresses

Primary practice location

8751 E Hampden Ave Ste B2
Denver, CO 80231-4929

Mailing address

8751 E Hampden Ave Ste B2
Denver, CO 80231-4929
Phone (303) 523-0621

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

LicenseStateTypeSpecialty
991936COMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1053753525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8751 E HAMPDEN AVE STE B2",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314929",
            "telephone_number": "303-523-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8751 E HAMPDEN AVE STE B2",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314929",
            "telephone_number": "303-523-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRUITMAN",
        "first_name": "BELINA",
        "name_prefix": "Mrs.",
        "credential": "LCSW, CACLLL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-24",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "991936",
            "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 Jul 24, 2013; 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.