Individual provider Active NPI

Tanya Ogrady, LCSW

  • Clinical Social Worker
  • Arvada, CO
National Provider Identifier
1265200901
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09929404 Issued in CO
Practice address
8764 W 86TH Ave
Arvada, CO 80005-1506
Phone
(720) 467-3255
NPI assigned
Dec 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CSW.09929404 CO Primary

Addresses

Primary practice location

8764 W 86TH Ave
Arvada, CO 80005-1506

Mailing address

8764 W 86TH Ave
Arvada, CO 80005-1506
Phone (720) 467-3255

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
I20231227000171 CO Practitioner - Clinical Social Worker 9739539263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Samantha Ivy LLCGroup PAC ID 0840552386, 12 clinicians

Practice addresses (Care Compare)

6863 Johnson St
Arvada, CO 80004-2948
Phone (954) 253-1072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09929404COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Samantha Ivy LLC Clinical CurrentSince Dec 13, 2023 Accepting new patients

Organizations & group practices 1

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": "1702339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1265200901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8764 W 86TH AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800051506",
            "telephone_number": "720-467-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8764 W 86TH AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800051506",
            "telephone_number": "720-467-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGRADY",
        "first_name": "TANYA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09929404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.