Individual provider Active NPI

Courtney Cathleen Stain, MSW, CSW, ADHD-CCSP

  • Clinical Social Worker
  • Lakewood, CO
National Provider Identifier
1063182632
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09930032 Issued in CO
Practice address
5801 W Alameda Ave
Lakewood, CO 80226-3583
Phone
(303) 425-0300
NPI assigned
Sep 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 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 CSW.09930032 CO Primary

Addresses

Primary practice location

5801 W Alameda Ave
Lakewood, CO 80226-3583

Mailing address

5801 W Alameda Ave
Lakewood, CO 80226-3583
Phone (303) 425-0300

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240509001610 CO Practitioner - Clinical Social Worker 1850732751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5801 W Alameda Ave
Lakewood, CO 80226-3583
Phone (303) 425-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09930032COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Center for Mental Health CurrentSince Mar 31, 2024 Accepting new patients
Jefferson Center for Mental Health CurrentSince Mar 31, 2024 Accepting new patients
Inn Between Past Accepting new patients

Locations

16280 W 64th Ave
Arvada, CO 80007
Phone (720) 898-1110

12055 W 2nd Pl
Lakewood, CO 80228
Phone (303) 425-4480

5801 W Alameda Ave
Lakewood, CO 80226
Phone (303) 432-5444

4851 Independence St
Ste 100
Wheat Ridge, CO 80033
Phone (303) 456-5495

4851 Independence St
Wheat Ridge, CO 80033
Phone (303) 432-5115

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1063182632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 W ALAMEDA AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802263583",
            "telephone_number": "303-425-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 W ALAMEDA AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802263583",
            "telephone_number": "303-425-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAIN",
        "first_name": "COURTNEY",
        "middle_name": "CATHLEEN",
        "credential": "MSW, CSW, ADHD-CCSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09930032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.