Individual provider Active NPI

Amber Baack, LCSW

  • Clinical Social Worker
  • Arvada, CO
National Provider Identifier
1265213896
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09929102 Issued in CO
Practice address
7310 W 52ND Ave Ste A179
Arvada, CO 80002-3725
Phone
(970) 672-7523
NPI assigned
Oct 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 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 Worker 1041C0700X CSW.09929102 CO Primary

Addresses

Primary practice location

7310 W 52ND Ave Ste A179
Arvada, CO 80002-3725

Mailing address

7310 W 52ND Ave Ste A179
Arvada, CO 80002-3725

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09929102COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
In the Alpenglow LLC CurrentSince Oct 15, 2023 Accepting new patients

Locations

7310 W 52nd Ave
Ste A179
Arvada, CO 80002
Phone (970) 672-7523

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": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1265213896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 W 52ND AVE STE A179",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800023725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 W 52ND AVE STE A179",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800023725",
            "telephone_number": "970-672-7523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAACK",
        "first_name": "AMBER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09929102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.