Individual provider Active NPI

Robert Unger, L.C.S.W., PH.D.

  • Clinical Social Worker
  • Boulder, CO
National Provider Identifier
1154613438
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW 985090 Issued in CO
Practice address
2455 Broadway St
Boulder, CO 80304-4108
Phone
(303) 938-9494
Fax
(303) 291-1180
NPI assigned
May 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X C.A.C. III 1548 CO
Clinical Social Worker 1041C0700X LCSW 985090 CO Primary

Addresses

Primary practice location

2455 Broadway St
Boulder, CO 80304-4108

Mailing address

2455 Broadway St
Boulder, CO 80304-4108

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
C.A.C. III 1548COMDAddiction (Substance Use Disorder) Counselor
LCSW 985090COMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304553600000",
    "number": "1154613438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 BROADWAY ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803044108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 BROADWAY ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803044108",
            "telephone_number": "303-938-9494",
            "fax_number": "303-291-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNGER",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "L.C.S.W., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-05",
        "last_updated": "2011-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "C.A.C. III  1548",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "LCSW 985090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; 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.