Individual provider Active NPI

Giulia Marie Pecone, MSW, CSW

  • Clinical Social Worker
  • Boulder, CO
National Provider Identifier
1174134829
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWC.0000000051 Issued in CO
Practice address
2975 Valmont Rd Ste 320
Boulder, CO 80301-1361
Phone
(970) 591-3544
NPI assigned
Aug 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 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 SWC.0000000051 CO Primary

Addresses

Primary practice location

2975 Valmont Rd Ste 320
Boulder, CO 80301-1361

Mailing address

813 Zweck CT
Longmont, CO 80503-7015
Phone (303) 775-4543

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
SWC.0000000051COMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1174134829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 ZWECK CT",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805037015",
            "telephone_number": "303-775-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 VALMONT RD STE 320",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011361",
            "telephone_number": "970-591-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECONE",
        "first_name": "GIULIA",
        "middle_name": "MARIE",
        "credential": "MSW, CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "SWC.0000000051",
            "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 Aug 14, 2020; 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.