Active NPI
Diana Shenkin
- Clinical Social Worker
- Broomfield, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.00989515
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diana Shenkin, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryLocations
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.
-
- Clinical Social Worker
- Broomfield, CO
- NPI 1457459794
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.