NPIMap

Individual provider Active NPI

Emily C Demong, LCSW

  • Clinical Social Worker
  • Durango, CO
National Provider Identifier
1154562015
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5918499-3501 Issued in UT
Practice address
South Skylare Drive
Open Sky Wilderness Therapy
Durango, CO 81302
Phone
(970) 382-8181
NPI assigned
Mar 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

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 5918499-3501 UT Primary

Addresses

Primary practice location

South Skylare Drive
Open Sky Wilderness Therapy
Durango, CO 81302

Mailing address

PO Box 2201
Open Sky Wilderness Therapy
Durango, CO 81302
Phone (970) 382-8181

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
5918499-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Acf Enterprises, LLC Past Accepting new patients

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": "1237766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237766400000",
    "number": "1154562015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2201",
            "address_2": "OPEN SKY WILDERNESS THERAPY",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "81302",
            "telephone_number": "970-382-8181",
            "fax_number": "970-382-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SOUTH SKYLARE DRIVE",
            "address_2": "OPEN SKY WILDERNESS THERAPY",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "81302",
            "telephone_number": "970-382-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMONG",
        "first_name": "EMILY",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-23",
        "last_updated": "2009-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "5918499-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; 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.