Individual provider Active NPI

Katherine Andraschko, SW-C

  • Social Worker
  • Glenwood Springs, CO
National Provider Identifier
1215509963
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
0000000372 Issued in CO
Practice address
1521 Grand Ave
Glenwood Springs, CO 81601-3809
Phone
(970) 945-2840
NPI assigned
Jul 13, 2021
Last updated
Jul 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 0000000372 CO Primary

Addresses

Primary practice location

1521 Grand Ave
Glenwood Springs, CO 81601-3809

Mailing address

2700 Gilstrap CT Ste 100
Glenwood Springs, CO 81601-8735
Phone (970) 945-2840

Other practice location 1

1905 Blake Ave Ste 101
Glenwood Springs, CO 81601-4206
Phone (970) 945-2840

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
I20260626001388 CO Practitioner - Clinical Social Worker 2769955145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Dallas, TX 75373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000000372COMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Midvalley Family Practice PC Current Accepting new patients
Mountain Family Health Centers CurrentSince Jul 25, 2021 Accepting new patients
Mountain Family Health Centers PastSince Jul 25, 2021 Accepting new patients

Locations

1521 Grand Ave
Glenwood Springs, CO 81601
Phone (970) 384-5574

2700 Gilstrap Ct
Ste 100
Glenwood Springs, CO 81601

Interoperability endpoints

  • Direct secure messaging: katherine.andraschko.1@19942.direct.athenahealth.com

Organizations & group practices 4

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": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1215509963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 GILSTRAP CT STE 100",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816018735",
            "telephone_number": "970-945-2840",
            "fax_number": "970-945-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 GRAND AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816013809",
            "telephone_number": "970-945-2840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1905 Blake Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Glenwood Springs",
            "state": "CO",
            "postal_code": "816014206",
            "country_code": "US",
            "telephone_number": "970-945-2840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDRASCHKO",
        "first_name": "KATHERINE",
        "credential": "SW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "0000000372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood Springs, CO

Sources for this page

Verify at the official NPI Registry.