Individual provider Active NPI

Gretchen Campbell Seefried, LSW

  • Social Worker
  • Denver, CO
National Provider Identifier
1124600283
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
0009922538 Issued in CO
Practice address
3955 E Exposition Ave Ste 501
Denver, CO 80209-5030
Phone
(720) 438-4495
NPI assigned
Apr 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 0009922538 CO Primary

Addresses

Primary practice location

3955 E Exposition Ave Ste 501
Denver, CO 80209-5030

Mailing address

8561 E Iliff Dr
Denver, CO 80231-3807
Phone (303) 349-1075

Other identifiers 1

IdentifierTypeStateIssuer
LSW.0009922538OtherCOCOLORADO DEPT OF REGULATORY AGENCIES

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
0009922538COMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1124600283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8561 E ILIFF DR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802313807",
            "telephone_number": "303-349-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 E EXPOSITION AVE STE 501",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802095030",
            "telephone_number": "720-438-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEEFRIED",
        "first_name": "GRETCHEN",
        "middle_name": "CAMPBELL",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "0009922538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO DEPT OF REGULATORY AGENCIES",
            "identifier": "LSW.0009922538",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.