Individual provider Active NPI

Barry Erdman, LCSW, DCSW

  • Clinical Social Worker
  • Boulder, CO
National Provider Identifier
1194874008
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
989018 Issued in CO
Practice address
3450 Penrose PL
Suite 210
Boulder, CO 80301-1828
Phone
(303) 444-1404
Fax
(303) 444-3491
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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 989018 CO Primary

Addresses

Primary practice location

3450 Penrose PL
Suite 210
Boulder, CO 80301-1828

Mailing address

3450 Penrose PL
Suite 210
Boulder, CO 80301-1828
Phone (303) 444-1404

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
I20120215000118 CO Practitioner - Clinical Social Worker 5597758458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3450 Penrose PL
Suite 210
Boulder, CO 80301-1810
Phone (303) 444-1404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
989018COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Barry Erdman and Associates Inc Clinical CurrentSince Oct 1, 2002 Accepting new patients
Barry Erdman PLLC Clinical CurrentSince Oct 1, 2002 Accepting new patients

Locations

3450 Penrose Pl
Ste 210
Boulder, CO 80301
Phone (303) 444-1404

Organizations & group practices 2

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1194874008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 PENROSE PL",
            "address_2": "SUITE 210",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011828",
            "telephone_number": "303-444-1404",
            "fax_number": "303-444-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 PENROSE PL",
            "address_2": "SUITE 210",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011828",
            "telephone_number": "303-444-1404",
            "fax_number": "303-444-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERDMAN",
        "first_name": "BARRY",
        "name_prefix": "Mr.",
        "credential": "LCSW, DCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "989018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.