Individual provider Active NPI

Monica Ibarra, LCSW

  • Clinical Social Worker
  • Peterson Afb, CO
National Provider Identifier
1275712895
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
885 Issued in CO
Practice address
559 Vincent St.
Attn: 21 Mdos/Sgow - Family Advocacy
Peterson Afb, CO 80914
Phone
(719) 556-8943
Fax
(877) 813-1756
NPI assigned
Oct 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 6465 CO
Clinical Social Worker 1041C0700X 885 CO Primary

Addresses

Primary practice location

559 Vincent St.
Attn: 21 Mdos/Sgow - Family Advocacy
Peterson Afb, CO 80914

Mailing address

559 Vincent St.
Attn: 21 Mdos/Sgow - Family Advocacy
Peterson Afb, CO 80914
Phone (719) 556-8943

Other names 1

  • Monica Sanchez Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
885COMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1275712895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 VINCENT ST.",
            "address_2": "ATTN: 21 MDOS/SGOW - FAMILY ADVOCACY",
            "city": "PETERSON AFB",
            "state": "CO",
            "postal_code": "80914",
            "telephone_number": "719-556-8943",
            "fax_number": "877-813-1756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 VINCENT ST.",
            "address_2": "ATTN: 21 MDOS/SGOW - FAMILY ADVOCACY",
            "city": "PETERSON AFB",
            "state": "CO",
            "postal_code": "80914",
            "telephone_number": "719-556-8943",
            "fax_number": "877-813-1756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBARRA",
        "first_name": "MONICA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-31",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "6465",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "SANCHEZ",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Peterson Afb, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.