Active NPI
Tiffany Pridmore
- Clinical Social Worker
- Evergreen, CO
National Provider Identifier
1124941828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 09933562
- Practice address
- 3081 Bergen Peak Dr
Evergreen, CO 80439-2200 - Phone
- (303) 674-6400
- Fax
- (303) 679-1372
- NPI assigned
- Jul 31, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 09933562 | CO | Primary |
Addresses
Primary practice location
3081 Bergen Peak Dr
Evergreen, CO 80439-2200
Mailing address
3081 Bergen Peak Dr
Evergreen, CO 80439-2200
Phone (303) 674-6400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785456000000",
"number": "1124941828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3081 BERGEN PEAK DR",
"city": "EVERGREEN",
"state": "CO",
"postal_code": "804392200",
"telephone_number": "303-674-6400",
"fax_number": "303-679-1372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3081 BERGEN PEAK DR",
"city": "EVERGREEN",
"state": "CO",
"postal_code": "804392200",
"telephone_number": "303-674-6400",
"fax_number": "303-679-1372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIDMORE",
"first_name": "TIFFANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-31",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "09933562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evergreen, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.