A Dementia Journey, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

A DEMENTIA JOURNEY, LLC

Practice address

49200 W US Highway 50
Canon City, CO 81212-9748

Phone

(719) 251-2568

Fax

(877) 752-2076

NPI assigned

Jun 25, 2025

Organization subpart

No

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

Authorized official

Name

Ms. Nancy Lea Greenstreet, LCSWNPI 1548453350

Title

Owner

Phone

(719) 251-2568

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nancy Lea Greenstreet, LCSW

  • Clinical Social Worker
  • Pueblo, CO
  • NPI 1548453350

  Clinical, CO

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1073401469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49200 W US HIGHWAY 50",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812129748",
            "telephone_number": "719-251-2568",
            "fax_number": "877-752-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49200 W US HIGHWAY 50",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812129748",
            "telephone_number": "719-251-2568",
            "fax_number": "877-752-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A DEMENTIA JOURNEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "GREENSTREET",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-251-2568",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 1918 Winter Street Operating Co LLC
• A Caring Connection
• A.B.C.C.P.C.
• Abbey Aaroe, FNP
• Aimee Lou Aaroe, DPT
• Michael David Aasen, MD
• Aaron Abbott

• All providers in Canon City, CO
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.