Individual provider Active NPI

Ann M Bomberg, LCSW

  • Clinical Social Worker
  • Longmont, CO
National Provider Identifier
1255741237
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.00993043 Issued in CO
Practice address
1630 Dry Creek Dr Ste 100-B
Longmont, CO 80503-6409
Phone
(970) 310-3406
NPI assigned
Apr 30, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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.00993043 CO Primary

Addresses

Primary practice location

1630 Dry Creek Dr Ste 100-B
Longmont, CO 80503-6409

Mailing address

1630 Dry Creek Dr Ste 100-B
Longmont, CO 80503-6409
Phone (970) 310-3406

Other identifiers 1

IdentifierTypeStateIssuer
61583014MedicaidCO

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
I20140708000113 CO Practitioner - Clinical Social Worker 5496970485 Reassigns benefits to 1 organization
Practice locations: Boulder, CO; Thornton, CO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heart Centered Counseling PCGroup PAC ID 8628373651, 296 clinicians

Practice addresses (Care Compare)

1630 Dry Creek Dr
Suite 100B
Longmont, CO 80503-6405
Phone (970) 310-3406

1770 25TH Ave
Suite 206
Greeley, CO 80634-4949
Phone (970) 310-3406

323 E 27TH St
Suite a
Loveland, CO 80538-3203
Phone (970) 310-3406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Centered Counseling, PC Clinical Current Accepting new patients
Heart Centered Counseling, PC Clinical CurrentSince Dec 1, 2018 Accepting new patients
Heart Centered Counseling, PC Clinical CurrentSince Dec 1, 2018 Accepting new patients
Canyon Tree Psychotherapy, LLC Clinical Past Accepting new patients

Locations

1770 25th Ave
Ste 206
Greeley, CO 80634
Phone (303) 664-5281

1630 Dry Creek Dr
Ste 100-B
Longmont, CO 80503
Phone (913) 244-3563

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1255741237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 DRY CREEK DR STE 100-B",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805036409",
            "telephone_number": "970-310-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 DRY CREEK DR STE 100-B",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805036409",
            "telephone_number": "970-310-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMBERG",
        "first_name": "ANN",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-30",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.00993043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61583014",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.