Active NPI
Amy Tindall Willson, MSW
- Social Worker
- Denver, CO
National Provider Identifier
1225260540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 504
- Practice address
- 1055 Clermont St
Denver, CO 80220-3808 - Phone
- (303) 399-8020
- NPI assigned
- Aug 20, 2009
- 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 | 504 | CO | Primary |
Addresses
Primary practice location
1055 Clermont St
Denver, CO 80220-3808
Mailing address
305 Locust St
Denver, CO 80220-5965
Phone (303) 263-3000
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 |
|---|---|---|---|
| 504 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250726400000",
"number": "1225260540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 LOCUST ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802205965",
"telephone_number": "303-263-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 CLERMONT ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802203808",
"telephone_number": "303-399-8020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLSON",
"first_name": "AMY",
"middle_name": "TINDALL",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-20",
"last_updated": "2009-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CO",
"license": "504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.