Individual provider Active NPI

Gena Du Bois Hepworth, MSW, LCSW

  • Clinical Social Worker
  • Greeley, CO
National Provider Identifier
1154979318
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1631 Issued in CO
Practice address
1015 37TH Avenue CT Unit 102
Greeley, CO 80634-2500
Phone
(970) 352-6830
Fax
(970) 352-1945
NPI assigned
Aug 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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 1631 CO Primary

Addresses

Primary practice location

1015 37TH Avenue CT Unit 102
Greeley, CO 80634-2500

Mailing address

1015 37TH Avenue CT Unit 102
Greeley, CO 80634-2500
Phone (970) 352-6830

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address genahepworth@comcast.net Health Information Exchange (HIE)
Direct Messaging Address info@restoregracecounseling.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200810001510 CO Practitioner - Clinical Social Worker 8527480151 Practice locations: Greeley, CO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1015 37TH Ave CT
Unit 102
Greeley, CO 80634-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1631COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Grace Counseling LLC Clinical CurrentSince Apr 18, 2020 Accepting new patients

Locations

2625 Redwing Rd
Ste 120
Fort Collins, CO 80526
Phone (970) 400-1574

1015 37th Avenue Ct
Unit 102
Greeley, CO 80634
Phone (970) 301-4463

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": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1154979318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 37TH AVENUE CT UNIT 102",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806342500",
            "telephone_number": "970-352-6830",
            "fax_number": "970-352-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 37TH AVENUE CT UNIT 102",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806342500",
            "telephone_number": "970-352-6830",
            "fax_number": "970-352-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEPWORTH",
        "first_name": "GENA",
        "middle_name": "DU BOIS",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-30",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "1631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "genahepworth@comcast.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1015 37th Avenue Ct Unit 102",
            "city": "Greeley",
            "state": "CO",
            "country_code": "US",
            "postal_code": "806342500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@restoregracecounseling.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1015 37th Avenue Ct Unit 102",
            "city": "Greeley",
            "state": "CO",
            "country_code": "US",
            "postal_code": "806342500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.