Active NPI
Ann Cacace, LCSW, LAC
- Clinical Social Worker
- Palmer Lake, CO
National Provider Identifier
1093380024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 09927139
- Practice address
- 443 Co-105
Palmer Lake, CO 80113 - Phone
- (719) 602-0914
- NPI assigned
- May 21, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0001515 | CO | |
| Clinical Social Worker | 1041C0700X | 09927139 | CO | Primary |
Addresses
Primary practice location
443 Co-105
Palmer Lake, CO 80113
Mailing address
9740 Steele St
Thornton, CO 80229
Phone (646) 483-3504
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | afcacace@gmail.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0001515 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| 09927139 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621555200000",
"number": "1093380024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9740 STEELE ST",
"city": "THORNTON",
"state": "CO",
"postal_code": "80229",
"telephone_number": "646-483-3504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "443 CO-105",
"city": "PALMER LAKE",
"state": "CO",
"postal_code": "80113",
"telephone_number": "719-602-0914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CACACE",
"first_name": "ANN",
"credential": "LCSW, LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-21",
"last_updated": "2021-05-21",
"certification_date": "2021-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "0001515",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "09927139",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "afcacace@gmail.com",
"affiliation": "N",
"endpointDescription": "Work computer",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "443 CO-105",
"city": "Palmer Lake",
"state": "CO",
"country_code": "US",
"postal_code": "80113",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Palmer Lake, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.