Active NPI
Rosemary Ellenburg, MSW
- Social Worker
- Colorado Springs, CO
National Provider Identifier
1194938548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- UNLICENSED
- Practice address
- 2812 E Bijou St
Colorado Springs, CO 80909-6371 - Phone
- (719) 457-0660
- Fax
- (719) 457-0766
- NPI assigned
- May 8, 2007
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | UNLICENSED | CO | Primary |
Addresses
Primary practice location
2812 E Bijou St
Colorado Springs, CO 80909-6371
Mailing address
1130 Garlock LN
Colorado Springs, CO 80918-3118
Phone (719) 457-0660
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
| License | State | Type | Specialty |
|---|---|---|---|
| UNLICENSED | CO | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194938548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 GARLOCK LN",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809183118",
"telephone_number": "719-457-0660",
"fax_number": "719-457-0766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2812 E BIJOU ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809096371",
"telephone_number": "719-457-0660",
"fax_number": "719-457-0766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLENBURG",
"first_name": "ROSEMARY",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CO",
"license": "UNLICENSED",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.