Individual provider Active NPI

Michelle Dwors Bunch, LCSW

  • Clinical Social Worker
  • Littleton, CO
National Provider Identifier
1225672405
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09923686 Issued in CO
Practice address
7750 S Broadway Ste 150
Littleton, CO 80122-2640
Phone
(303) 347-9897
Fax
(303) 347-9912
NPI assigned
Oct 31, 2019
Last updated
Nov 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2019

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.09923686 CO Primary

Addresses

Primary practice location

7750 S Broadway Ste 150
Littleton, CO 80122-2640

Mailing address

PO Box 911244
Denver, CO 80291-1244
Phone (800) 953-0104

Other practice location 1

9135 Ridgeline Blvd Ste 190
Highlands Ranch, CO 80129-2395
Phone (303) 649-3140

Other names 1

  • Michelle Beth Dwors Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michellebunch@centura.org Direct

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)
Enrolled

Interoperability endpoints

  • Direct secure messaging: michellebunch@centura.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1225672405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911244",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802911244",
            "telephone_number": "800-953-0104",
            "fax_number": "303-765-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 S BROADWAY STE 150",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222640",
            "telephone_number": "303-347-9897",
            "fax_number": "303-347-9912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9135 Ridgeline Blvd Ste 190",
            "address_purpose": "LOCATION",
            "city": "Highlands Ranch",
            "state": "CO",
            "postal_code": "801292395",
            "country_code": "US",
            "telephone_number": "303-649-3140",
            "fax_number": "303-649-3154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUNCH",
        "first_name": "MICHELLE",
        "middle_name": "DWORS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09923686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michellebunch@centura.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7750 S Broadway Ste 100",
            "city": "Littleton",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801222630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "DWORS",
            "middle_name": "BETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; 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.