Individual provider Active NPI

Deanna Zobel-Grey, MSW, LCSW

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1104075936
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1366 Issued in CO
Practice address
10 Boulder Crescent St
Ste 102F
Colorado Springs, CO 80903-3345
Phone
(719) 287-7832
NPI assigned
Sep 17, 2008
Last updated
May 2, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Social Worker 1041C0700X 1366 CO Primary

Addresses

Primary practice location

10 Boulder Crescent St
Ste 102F
Colorado Springs, CO 80903-3345

Mailing address

10 Boulder Crescent St
Ste 102F
Colorado Springs, CO 80903-3345
Phone (719) 287-7832

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1366COMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1104075936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BOULDER CRESCENT ST",
            "address_2": "STE 102F",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033345",
            "telephone_number": "719-287-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BOULDER CRESCENT ST",
            "address_2": "STE 102F",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033345",
            "telephone_number": "719-287-7832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOBEL-GREY",
        "first_name": "DEANNA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "1366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.