Individual provider Active NPI

Margaret A Pine, MSW, LCSW

  • Clinical Social Worker
  • Longmont, CO
National Provider Identifier
1174842710
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09930904 Issued in CO
Practice address
220 E Saint Clair Ave
Longmont, CO 80504-4624
Phone
(970) 209-5142
Fax
(307) 742-6572
NPI assigned
May 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X 09930904 CO Primary

Addresses

Primary practice location

220 E Saint Clair Ave
Longmont, CO 80504-4624

Mailing address

220 E Saint Clair Ave
Longmont, CO 80504-4624
Phone (970) 209-5142

Other practice location 1

1055 17th Ave Ste 92
Longmont, CO 80501-2647
Phone (970) 209-5142

Other names 1

  • Peggy Pine Other name

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
09930904COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kidstuff Child and Family Counseling, P.C. Professional Past Accepting new patients
Kidstuff Child and Family Counseling, P.C. Professional Past Accepting new patients
Kidstuff Child and Family Counseling, P.C. Professional Past Accepting new patients
Kidstuff Child & Family Counseling, P.C. Past Accepting new patients

Organizations & group practices 4

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": "1274400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1174842710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E SAINT CLAIR AVE",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805044624",
            "telephone_number": "970-209-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E SAINT CLAIR AVE",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805044624",
            "telephone_number": "970-209-5142",
            "fax_number": "307-742-6572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 17th Ave Ste 92",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805012647",
            "country_code": "US",
            "telephone_number": "970-209-5142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINE",
        "first_name": "MARGARET",
        "middle_name": "A",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-21",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09930904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEGGY",
            "last_name": "PINE",
            "credential": "MSW,LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.

Verify at the official NPI Registry.