Individual provider Active NPI

Nija Elaine Gilman, LCSW

  • Clinical Social Worker
  • Lakewood, CO
National Provider Identifier
1093039448
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1476 Issued in CO
Practice address
12567 W Cedar Dr Ste 101
Lakewood, CO 80228-2009
Phone
(303) 691-6095
Fax
(303) 376-6372
NPI assigned
Mar 15, 2010
Last updated
Jun 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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 1476 CO Primary

Addresses

Primary practice location

12567 W Cedar Dr Ste 101
Lakewood, CO 80228-2009

Mailing address

12567 W Cedar Dr Ste 101
Lakewood, CO 80228-2009
Phone (303) 691-6095

Other practice location 1

25 E 16th Ave
4
Denver, CO 80202-5195
Phone (303) 297-4029

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

LicenseStateTypeSpecialty
1476COMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1093039448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12567 W CEDAR DR STE 101",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282009",
            "telephone_number": "303-691-6095",
            "fax_number": "303-376-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12567 W CEDAR DR STE 101",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282009",
            "telephone_number": "303-691-6095",
            "fax_number": "303-376-6372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 E 16th Ave",
            "address_2": "4",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802025195",
            "country_code": "US",
            "telephone_number": "303-297-4029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILMAN",
        "first_name": "NIJA",
        "middle_name": "ELAINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-15",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "1476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.