Individual provider Active NPI

Adam Slack

  • Clinical Social Worker
  • Arvada, CO
National Provider Identifier
1275701484
Registry record updated Nov 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2151 Issued in CO
Practice address
6083 Holland St
Arvada, CO 80004-5358
Phone
(303) 518-0781
Fax
(720) 208-4551
NPI assigned
Feb 11, 2008
Last updated
Nov 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 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 2151 CO Primary

Addresses

Primary practice location

6083 Holland St
Arvada, CO 80004-5358

Mailing address

6083 Holland St
Arvada, CO 80004-5358
Phone (303) 518-0781

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
I20141030002307 CO Practitioner - Clinical Social Worker 8426279621 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rocky Mountain Primary Care , PCGroup PAC ID 3779471677, 38 clinicians
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

3520 W 92ND Ave
Suite 104
Westminster, CO 80031-3304
Phone (303) 429-6600

720 S Colorado Blvd
PH North
Denver, CO 80246-1904
Phone (844) 843-7279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Primary Care , PC CurrentSince Jan 1, 2025 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Jul 24, 2023 Accepting new patients

Locations

5730 Ward Rd
Ste 102
Arvada, CO 80002
Phone (303) 422-6331

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

3520 W 92nd Ave
Ste 104
Westminster, CO 80031
Phone (303) 429-6600

7625 W 92nd Ave
Westminster, CO 80021
Phone (303) 252-7790

Interoperability endpoints

  • Direct secure messaging: adam.slack.1@15135.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793491200000",
    "number": "1275701484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6083 HOLLAND ST",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800045358",
            "telephone_number": "303-518-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6083 HOLLAND ST",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800045358",
            "telephone_number": "303-518-0781",
            "fax_number": "720-208-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLACK",
        "first_name": "ADAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-11",
        "last_updated": "2026-11-01",
        "certification_date": "2026-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "2151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.