Ingrid Ruta Mary Avison, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.09927715 Issued in CO

Practice address

1042 Twin Sisters Rd
Nederland, CO 80466-9600

Phone

(805) 453-8544

NPI assigned

Sep 16, 2021

Last updated

Sep 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1255001723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 16TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803024355",
            "telephone_number": "805-453-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 TWIN SISTERS RD",
            "city": "NEDERLAND",
            "state": "CO",
            "postal_code": "804669600",
            "telephone_number": "805-453-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVISON",
        "first_name": "INGRID",
        "middle_name": "RUTA MARY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09927715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alec Biscardi
• Estelle Rose Brewer, MS, RDN, CSCS
• Tracy L. Brewer, P.T.

• Clinical Social Worker in Nederland, CO
• Providers in Nederland, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.