Individual provider Active NPI

Michelle Lynn Vrooman, LCSW

  • Clinical Social Worker
  • Wheat Ridge, CO
National Provider Identifier
1114469152
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09924394 Issued in CO
Practice address
4860 Robb St Ste 201
Wheat Ridge, CO 80033-2162
Phone
(888) 948-6789
Fax
(877) 345-3501
NPI assigned
Nov 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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 CSW.09924394 CO Primary

Addresses

Primary practice location

4860 Robb St Ste 201
Wheat Ridge, CO 80033-2162

Mailing address

3553 Reindeer Circle
Colorado Springs, CO 80922
Phone (719) 459-2097

Other practice location 1

3633 Reindeer Circle
Cimmaron Hills, CO 80922
Phone (719) 459-2097

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
I20180328000827 CO Practitioner - Clinical Social Worker 2567724735 Reassigns benefits to 1 organization
Practice locations: Colorado Springs, CO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2130 Academy Cir
Suite E
Colorado Springs, CO 80909-1661
Phone (719) 459-2097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle and Glenn Vrooman LLC CurrentSince Oct 14, 2023 Accepting new patients

Locations

2130 Academy Cir
Ste E
Colorado Springs, CO 80909
Phone (719) 459-2097

Organizations & group practices 1

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": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1114469152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3553 REINDEER CIRCLE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80922",
            "telephone_number": "719-459-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 ROBB ST STE 201",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332162",
            "telephone_number": "888-948-6789",
            "fax_number": "877-345-3501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3633 Reindeer Circle",
            "address_purpose": "LOCATION",
            "city": "Cimmaron Hills",
            "state": "CO",
            "postal_code": "80922",
            "country_code": "US",
            "telephone_number": "719-459-2097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VROOMAN",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-08",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09924394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

Verify at the official NPI Registry.