Individual provider Active NPI

Michelle K Ohde, LCSW

  • Clinical Social Worker
  • Evergreen, CO
National Provider Identifier
1184057358
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09928451 Issued in CO
Practice address
2987 Bergen Peak Dr
Evergreen, CO 80439-2205
Phone
(740) 398-9697
Fax
(877) 345-3501
NPI assigned
Aug 12, 2013
Last updated
Jun 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.0021134 OH
Clinical Social Worker 1041C0700X CSW.09928451 CO Primary
Clinical Social Worker 1041C0700X I1500088 OH

Addresses

Primary practice location

2987 Bergen Peak Dr
Evergreen, CO 80439-2205

Mailing address

4851 Independence St
Wheat Ridge, CO 80033-6715
Phone (303) 425-0300

Other practice location 1

10595 Highway 19
Black Hawk, CO 80422
Phone (303) 582-3444

Other practice location 2

17606 Coshocton Rd
Mount Vernon, OH 43050-9218
Phone (740) 397-7568

Other practice location 3

8402 Blackjack Road Ext
Mount Vernon, OH 43050-9193
Phone (740) 522-8477

Other practice location 4

31207 Keats Way Ste 202
Evergreen, CO 80439-2220
Phone (303) 838-7552

Other identifiers 2

IdentifierTypeStateIssuer
0200008MedicaidOH
1184057358MedicaidCO

Other names 1

  • Michelle O Bainbridge Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221101001691 CO Practitioner - Clinical Social Worker 0042687279 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.0021134OHMDSocial Worker
I1500088OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Healthcare Partners of Central Ohio Inc PastSince Feb 10, 2011 Accepting new patients
Jefferson Center for Mental Health Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1184057358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4851 INDEPENDENCE ST",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336715",
            "telephone_number": "303-425-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2987 BERGEN PEAK DR",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804392205",
            "telephone_number": "740-398-9697",
            "fax_number": "877-345-3501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10595 Highway 19",
            "address_purpose": "LOCATION",
            "city": "Black Hawk",
            "state": "CO",
            "postal_code": "80422",
            "country_code": "US",
            "telephone_number": "303-582-3444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17606 Coshocton Rd",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "OH",
            "postal_code": "430509218",
            "country_code": "US",
            "telephone_number": "740-397-7568",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8402 Blackjack Road Ext",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "OH",
            "postal_code": "430509193",
            "country_code": "US",
            "telephone_number": "740-522-8477",
            "fax_number": "740-788-3424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31207 Keats Way Ste 202",
            "address_purpose": "LOCATION",
            "city": "Evergreen",
            "state": "CO",
            "postal_code": "804392220",
            "country_code": "US",
            "telephone_number": "303-838-7552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OHDE",
        "first_name": "MICHELLE",
        "middle_name": "K",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-12",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.0021134",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09928451",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I1500088",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0200008",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184057358",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "BAINBRIDGE",
            "middle_name": "O",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evergreen, CO

Sources for this page

Verify at the official NPI Registry.