Active NPI
Lindarose Berkley, MSW
- Clinical Social Worker
- Walden, CO
National Provider Identifier
1083670335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 992551
- Practice address
- 404 4TH Street
Walden, CO 80480 - Phone
- (970) 723-0055
- Fax
- (970) 723-4732
- NPI assigned
- Apr 25, 2006
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 992551 | CO | Primary |
Addresses
Primary practice location
404 4TH Street
Walden, CO 80480
Mailing address
PO Box 40
Glenwood Springs, CO 81602-0040
Phone (970) 945-2241
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 992551 | CO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado West Regional Mental Health, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Health Solutions West
- Professional Counselor
- Grand Junction, CO
- NPI 1275214959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1083670335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "816020040",
"telephone_number": "970-945-2241",
"fax_number": "970-945-5523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 4TH STREET",
"city": "WALDEN",
"state": "CO",
"postal_code": "80480",
"telephone_number": "970-723-0055",
"fax_number": "970-723-4732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERKLEY",
"first_name": "LINDAROSE",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-25",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "992551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walden, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.