Active NPI
Ann M Bomberg, LCSW
- Clinical Social Worker
- Longmont, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.00993043
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61583014 | Medicaid | CO |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart Centered Counseling, PC | Clinical | Current | Accepting new patients |
| Heart Centered Counseling, PC | Clinical | Current | Accepting new patients |
| Heart Centered Counseling, PC | Clinical | Current | 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.
-
- Clinical Social Worker
- Thornton, CO
- NPI 1720522626
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.