Gary D West. MSW, PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

876330 Issued in CO

Legal business name

GARY D WEST. MSW, PC

Practice address

2985 Broadmoor Valley Rd Ste 9
Colorado Springs, CO 80906-4484

Phone

(719) 576-6617

Fax

(719) 597-9792

NPI assigned

Apr 16, 2009

Organization subpart

No

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

Authorized official

Name

Gary D West

Title

President

Phone

(719) 576-6617

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1104069434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2985 BROADMOOR VALLEY RD STE 9",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064484",
            "telephone_number": "719-576-6617",
            "fax_number": "719-597-9792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2985 BROADMOOR VALLEY RD STE 9",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064484",
            "telephone_number": "719-576-6617",
            "fax_number": "719-597-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY D WEST. MSW, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-16",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-576-6617"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "876330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jazzarae Gary

• Clinical Social Worker in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; 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.