Individual provider Active NPI

Courtney Lin Flores Rodriguez

  • Clinical Social Worker
  • Grand Junction, CO
National Provider Identifier
1124504329
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSW.0009921699 Issued in CO
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

Updated by the provider on Jul 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
LSW.0009921699COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hopewest PastSince Jun 27, 2021 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.

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.

Verify at the official NPI Registry.