Individual provider Active NPI

Anna Alford, MSW, LCSW

  • Clinical Social Worker
  • Boulder, CO
National Provider Identifier
1194477380
Registry record updated Nov 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09929900 Issued in CO
Practice address
3400 Table Mesa Dr Ste 205
Boulder, CO 80305-5850
Phone
(720) 819-6226
NPI assigned
Jan 19, 2022
Last updated
Nov 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09929900 CO Primary

Addresses

Primary practice location

3400 Table Mesa Dr Ste 205
Boulder, CO 80305-5850

Mailing address

717 Simpson Dr
Lafayette, CO 80026-1053

Other practice location 1

12157 W Cedar Dr
Lakewood, CO 80228-2100
Phone (720) 819-6226

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
CSW.09929900COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Spark of Serenity, LLC Clinical CurrentSince Nov 26, 2023 Accepting new patients

Locations

3400 Table Mesa Dr
Ste 205
Boulder, CO 80305
Phone (303) 499-9395

12157 W Cedar Dr
Lakewood, CO 80228
Phone (303) 586-1978

Organizations & group practices 1

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": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700697600000",
    "number": "1194477380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 SIMPSON DR",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800261053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 TABLE MESA DR STE 205",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803055850",
            "telephone_number": "720-819-6226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12157 W Cedar Dr",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802282100",
            "country_code": "US",
            "telephone_number": "720-819-6226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALFORD",
        "first_name": "ANNA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-19",
        "last_updated": "2023-11-23",
        "certification_date": "2023-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09929900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2023; 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.