Courtnee Divine, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

3280 E Woodmen Rd Ste 200
Colorado Springs, CO 80920-3586

Phone

(719) 445-6744

Fax

(719) 960-3135

NPI assigned

Dec 7, 2021

Last updated

Dec 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cottonwood Creek Wellness Center

  • Clinical Psychologist
  • Colorado Springs, CO
  • NPI 1073023974
  NPD (past)

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1174281059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 E WOODMEN RD STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203586",
            "telephone_number": "719-445-6744",
            "fax_number": "719-960-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 E WOODMEN RD STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203586",
            "telephone_number": "719-445-6744",
            "fax_number": "719-960-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVINE",
        "first_name": "COURTNEE",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diversus Health Inc (Diversus Health Services)
• Diversus Health Inc Diversus Health Services
• Diversus Health Inc Diversus Health Services (Diversus Health Services)
• Diversus Health Inc Diversus Health Services
• Divine Glow Massage Therapy
• Megan N. Divine, PT
• Barbara Jean Divish, M.D.
• Dixie H Dodge PHD PC (Dixie H Dodge PhD)
• Anna Dixon, PT, DPT
• Joel Dixon, P.T.

• Clinical Social Worker in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.