Organization Active NPI

Diana Shenkin

  • Clinical Social Worker
  • Broomfield, CO
National Provider Identifier
1144777525
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.00989515 Issued in CO
Legal business name
DIANA SHENKIN
Practice address
710 Burbank St Ste F
Broomfield, CO 80020-1658
Phone
(970) 250-3149
NPI assigned
Sep 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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

Authorized official

Name
Diana Shenkin, LCSWNPI 1457459794
Title
Sole Member
Phone
(970) 250-3149

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CSW.00989515 CO Primary

Addresses

Primary practice location

710 Burbank St Ste F
Broomfield, CO 80020-1658

Mailing address

710 Burbank St Ste F
Broomfield, CO 80020-1658
Phone (970) 250-3149

National Provider Directory

National Provider Directory

Locations

710 Burbank St
Ste F
Broomfield, CO 80020
Phone (303) 993-3860

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1144777525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 BURBANK ST STE F",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201658",
            "telephone_number": "970-250-3149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 BURBANK ST STE F",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201658",
            "telephone_number": "970-250-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA SHENKIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-02",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "SHENKIN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "970-250-3149",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.00989515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.