Individual provider Active NPI

Alyssa Bates, MSW, LCSW

  • Clinical Social Worker
  • Northglenn, CO
National Provider Identifier
1114447117
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09931333 Issued in CO
Practice address
10190 Bannock St Ste 120
Northglenn, CO 80260-6052
Phone
(720) 446-8227
NPI assigned
Jun 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 09931333 CO Primary

Addresses

Primary practice location

10190 Bannock St Ste 120
Northglenn, CO 80260-6052

Mailing address

16835 Huron St Apt 102
Broomfield, CO 80023-8941
Phone (918) 876-7169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260209002894 CO Practitioner - Clinical Social Worker 2961981014 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10190 Bannock St
Suite 120
Northglenn, CO 80260-6051

16835 Huron St
Apt 102
Broomfield, CO 80023-8938

5353 W Dartmouth Ave
Suite 305
Denver, CO 80227-5517

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09931333COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Griffith Centers, Inc. Mental Health CurrentSince Jan 3, 2026 Accepting new patients
Higher Sights Counseling Mental Health CurrentSince Feb 2, 2026 Accepting new patients
Griffith Centers, Inc. Mental Health CurrentSince Jan 3, 2026 Accepting new patients
Mental Health Association of Tulsa PastSince Jul 24, 2022 Accepting new patients
Mental Health Association in Tulsa, Inc. PastSince Jul 24, 2022 Accepting new patients

Locations

5353 W Dartmouth Ave
Ste 305
Lakewood, CO 80227
Phone (720) 943-7050

10190 Bannock St
Ste 120
Northglenn, CO 80260
Phone (720) 230-3437

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1114447117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16835 HURON ST APT 102",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800238941",
            "telephone_number": "918-876-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10190 BANNOCK ST STE 120",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802606052",
            "telephone_number": "720-446-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "ALYSSA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09931333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northglenn, CO

Sources for this page

Verify at the official NPI Registry.