Active NPI
Andrew Paul Defeo, LCSW
- Clinical Social Worker
- Denver, CO
National Provider Identifier
1174042246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW09930486
- Practice address
- 950 S Cherry St Ste 1675
Denver, CO 80246-2532 - Phone
- (929) 263-4796
- NPI assigned
- Sep 11, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 096331-01 | NY | |
| Clinical Social Worker | 1041C0700X | CSW09930486 | CO | Primary |
Addresses
Primary practice location
950 S Cherry St Ste 1675
Denver, CO 80246-2532
Mailing address
950 S Cherry St Ste 1675
Denver, CO 80246-2532
Phone (929) 263-4796
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
| License | State | Type | Specialty |
|---|---|---|---|
| CSW09930486 | CO | MD | Clinical Social Worker |
| 096331-01 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1174042246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 S CHERRY ST STE 1675",
"city": "DENVER",
"state": "CO",
"postal_code": "802462532",
"telephone_number": "929-263-4796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 S CHERRY ST STE 1675",
"city": "DENVER",
"state": "CO",
"postal_code": "802462532",
"telephone_number": "929-263-4796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEFEO",
"first_name": "ANDREW",
"middle_name": "PAUL",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-11",
"last_updated": "2024-11-05",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "096331-01",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW09930486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.