Organization Active NPI

Remote Relief Trauma Therapy

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1174353742
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
REMOTE RELIEF TRAUMA THERAPY
Practice address
110 16TH St Ste 1460
Denver, CO 80202-5202
Phone
(970) 818-0566
NPI assigned
Aug 7, 2024
Last updated
Apr 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Authorized official

Name
Rebecca Castle-Waller, LCSWNPI 1427531318
Title
Owner
Phone
(970) 818-0566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

110 16TH St Ste 1460
Denver, CO 80202-5202

Mailing address

110 16TH St Ste 1460
Denver, CO 80202-5202
Phone (970) 818-0566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241031004151 CO Part B Supplier - Clinic/Group Practice 9739612524 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO; Fort Collins, CO

National Provider Directory

National Provider Directory

Locations

1281 E Magnolia St
Unit D1016
Fort Collins, CO 80524

1281 E Magnolia St
Ste D
Fort Collins, CO 80524
Phone (970) 888-4070

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1174353742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 16TH ST STE 1460",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802025202",
            "telephone_number": "970-818-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 16TH ST STE 1460",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802025202",
            "telephone_number": "970-818-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMOTE RELIEF TRAUMA THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "CASTLE-WALLER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-818-0566",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.