Active NPI
Courtney Lin Flores Rodriguez
- Clinical Social Worker
- Grand Junction, CO
National Provider Identifier
1124504329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LSW.0009921699
- Practice address
- 3090 N 12TH St Unit a
Grand Junction, CO 81506-2804 - Phone
- (970) 241-2212
- Fax
- (970) 257-2401
- NPI assigned
- Jul 11, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LSW.0009921699 | CO | |
| Clinical Social Worker | 1041C0700X | LSW.0009921699 | CO | Primary |
Addresses
Primary practice location
3090 N 12TH St Unit a
Grand Junction, CO 81506-2804
Mailing address
1322 Sagittarius St
Fruita, CO 81521-3035
Phone (970) 640-1664
Other practice location 1
2754 Compass DR
Ste 277
Grand Junction, CO 81506-8723
Phone (970) 241-2212 ext. 2384
Other names 1
- Courtney Lin Baker
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW.0009921699 | CO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopewest | Past | Accepting new patients |
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.
-
- PACE Provider Organization
- Grand Junction, CO
- NPI 1679142061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627603200000",
"number": "1124504329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1322 SAGITTARIUS ST",
"city": "FRUITA",
"state": "CO",
"postal_code": "815213035",
"telephone_number": "970-640-1664",
"fax_number": "970-257-2401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3090 N 12TH ST UNIT A",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815062804",
"telephone_number": "970-241-2212",
"fax_number": "970-257-2401"
}
],
"practiceLocations": [
{
"address_1": "2754 Compass DR",
"address_2": "STE 277",
"address_purpose": "LOCATION",
"city": "Grand Junction",
"state": "CO",
"postal_code": "815068723",
"country_code": "US",
"telephone_number": "970-241-2212 x2384",
"fax_number": "970-257-2401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLORES RODRIGUEZ",
"first_name": "COURTNEY",
"middle_name": "LIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-11",
"last_updated": "2021-07-30",
"certification_date": "2021-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CO",
"license": "LSW.0009921699",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "LSW.0009921699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "COURTNEY",
"last_name": "BAKER",
"middle_name": "LIN",
"credential": "LSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.