Carly Ambuske, LSW
Individual provider Active NPI Social Worker · Boulder, CO
NPI 1093380321 · NPPES record last updated Jan 26, 2024
Key facts
- NPI
- 1093380321
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 0009925257 (CO)
- Practice address
- 4430 Arapahoe Ave Ste 100
Boulder, CO 80303-1196 - Phone
- (720) 310-0570
- NPI assigned
- May 20, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0009925257 | CO | MD | Social Worker |
| SW131972 | PA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cattaraugus Rehabilitation Center, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW131972 | PA | |
| Social Worker | 104100000X | 0009925257 | CO | Yes |
Addresses
Primary practice location
4430 Arapahoe Ave Ste 100
Boulder, CO 80303-1196
Mailing address
6753 Coors St
PO Box 804
Arvada, CO 80004-1364
Phone (814) 366-0402
Other practice location 1
6753 Coors St
Arvada, CO 80004-2057
Phone (720) 432-9704
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.