Individual provider Active NPI

Somer Lee Lundborg, LCSW

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1134730674
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09929645 Issued in CO
Practice address
1355 S Colorado Blvd
Denver, CO 80222-3305
Phone
(303) 756-9052
NPI assigned
Aug 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09929645 CO Primary

Addresses

Primary practice location

1355 S Colorado Blvd
Denver, CO 80222-3305

Mailing address

1355 S Colorado Blvd
Denver, CO 80222-3305
Phone (303) 756-9052

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
CSW.09929645COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Somer Lundborg Therapy Clinical CurrentSince Jun 23, 2024 Accepting new patients

Locations

1355 S Colorado Blvd
Ste 100
Denver, CO 80222
Phone (303) 756-9052

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": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1134730674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 S COLORADO BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223305",
            "telephone_number": "303-756-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 S COLORADO BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223305",
            "telephone_number": "303-756-9052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDBORG",
        "first_name": "SOMER",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-10",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09929645",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 15, 2024; 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.