Active NPI
Amy Renee Brissette, LCSW
- Clinical Social Worker
- Denver, CO
National Provider Identifier
1194307538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.09926896
- Practice address
- 2000 S. Colorado Blvd
Tower 1, Ste 2000-4
Denver, CO 80222-7900 - Phone
- (303) 884-9682
- Fax
- (303) 474-6521
- NPI assigned
- Apr 26, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW.09926896 | CO | Primary |
Addresses
Primary practice location
2000 S. Colorado Blvd
Tower 1, Ste 2000-4
Denver, CO 80222-7900
Mailing address
8003 Raleigh St
Westminster, CO 80031-4313
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000171712 | Medicaid | CO |
Other names 1
- Amy Renee Hinkle
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gabrielle@coloradocounselinginhome.com | Health Information Exchange (HIE) | Colorado In-Home Counseling |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619395200000",
"number": "1194307538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8003 RALEIGH ST",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800314313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 S. COLORADO BLVD",
"address_2": "TOWER 1, STE 2000-4",
"city": "DENVER",
"state": "CO",
"postal_code": "802227900",
"telephone_number": "303-884-9682",
"fax_number": "303-474-6521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRISSETTE",
"first_name": "AMY",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-26",
"last_updated": "2021-04-26",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09926896",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000171712",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gabrielle@coloradocounselinginhome.com",
"affiliation": "Y",
"affiliationName": "Colorado In-Home Counseling",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "2000 S. Colorado Blvd",
"address_2": "Tower 1, Ste 2000-4",
"city": "Denver",
"state": "CO",
"country_code": "US",
"postal_code": "802227900",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "AMY",
"last_name": "HINKLE",
"middle_name": "RENEE",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}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 26, 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.