Active NPI
Amber Villani Newberry, LMSW
- Social Worker
- Monument, CO
National Provider Identifier
1093585341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 0009925219
- Practice address
- 244 Washington St
Monument, CO 80132-9173 - Phone
- (719) 425-9644
- NPI assigned
- Jan 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 0009925219 | CO | Primary |
Addresses
Primary practice location
244 Washington St
Monument, CO 80132-9173
Mailing address
PO Box 248
Palmer Lake, CO 80133-0248
Phone (719) 425-9644
Other practice location 1
790 Highway 105 Ste D
Palmer Lake, CO 80133-9035
Phone (719) 425-9644
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 |
|---|---|---|---|
| 0009925219 | CO | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1093585341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 248",
"city": "PALMER LAKE",
"state": "CO",
"postal_code": "801330248",
"telephone_number": "719-425-9644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "244 WASHINGTON ST",
"city": "MONUMENT",
"state": "CO",
"postal_code": "801329173",
"telephone_number": "719-425-9644"
}
],
"practiceLocations": [
{
"address_1": "790 Highway 105 Ste D",
"address_purpose": "LOCATION",
"city": "Palmer Lake",
"state": "CO",
"postal_code": "801339035",
"country_code": "US",
"telephone_number": "719-425-9644",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEWBERRY",
"first_name": "AMBER",
"middle_name": "VILLANI",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-08",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CO",
"license": "0009925219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monument, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.