Individual provider Active NPI

Amber Villani Newberry, LMSW

  • Social Worker
  • Monument, CO
National Provider Identifier
1093585341
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
0009925219 Issued in CO
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

Updated by the provider on Jan 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
0009925219COMDSocial 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.

Verify at the official NPI Registry.