Individual provider Active NPI

Alyssa M Glaser, MSW, LCSW

  • Clinical Social Worker
  • Broomfield, CO
National Provider Identifier
1073287363
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09928301 Issued in CO
Practice address
80 Garden Ctr Ste 24
Broomfield, CO 80020-1773
Phone
(720) 994-8515
NPI assigned
Aug 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X 09928301 CO Primary

Addresses

Primary practice location

80 Garden Ctr Ste 24
Broomfield, CO 80020-1773

Mailing address

10100 Elida Rd
Delphos, OH 45833-9056
Phone (419) 695-8010

Other practice location 1

1600 Specht Point Rd Ste 105
Fort Collins, CO 80525-4311
Phone (970) 494-5891

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
09928301COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cultivating Compassion Therapy PLLC Clinical CurrentSince Mar 11, 2025 Accepting new patients
Specialized Alternatives for Families and Youth of Colorado, Inc. PastSince Aug 1, 2021 Accepting new patients
Specialized Alternatives for Families and Youth of Colorado, Inc. PastSince Aug 1, 2021 Accepting new patients

Locations

80 Garden Ctr
Ste 24
Broomfield, CO 80020
Phone (303) 635-2640

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": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1073287363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 ELIDA RD",
            "city": "DELPHOS",
            "state": "OH",
            "postal_code": "458339056",
            "telephone_number": "419-695-8010",
            "fax_number": "419-695-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 GARDEN CTR STE 24",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201773",
            "telephone_number": "720-994-8515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Specht Point Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805254311",
            "country_code": "US",
            "telephone_number": "970-494-5891",
            "fax_number": "970-494-5895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLASER",
        "first_name": "ALYSSA",
        "middle_name": "M",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09928301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.