NPIMap

Organization Active NPI

Sexual Assault Victim Advocate Center

  • Clinical Social Worker
  • Greeley, CO
National Provider Identifier
1114582855
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SEXUAL ASSAULT VICTIM ADVOCATE CENTER
Practice address
921 38TH Avenue CT
Greeley, CO 80634-1501
Phone
(970) 506-4059
NPI assigned
May 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2019

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

Authorized official

Name
Dorothy Farrel
Title
Executive Director
Phone
(970) 775-2962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

921 38TH Avenue CT
Greeley, CO 80634-1501

Mailing address

921 38TH Avenue CT
Greeley, CO 80634-1501
Phone (970) 506-4059

Other names 1

  • SAVA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260519001603 CO Part B Supplier - Clinic/Group Practice 8921577040 Receives reassigned benefits from 1 practitioner
Practice locations: Greeley, CO; Fort Collins, CO

National Provider Directory

National Provider Directory
Tax ID family
Sexual Assault Victim Advocate Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557273600000",
    "number": "1114582855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 38TH AVENUE CT",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806341501",
            "telephone_number": "970-506-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 38TH AVENUE CT",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806341501",
            "telephone_number": "970-506-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEXUAL ASSAULT VICTIM ADVOCATE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-05-08",
        "status": "A",
        "authorized_official_last_name": "FARREL",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "970-775-2962"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAVA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.