Jose L Elizalde, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.09924773 Issued in CO

Practice address

50 Buck Creek Rd #200
Avon, CO 81620

Phone

(970) 926-6340

NPI assigned

Sep 7, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Colorado Mountain Medical, LLC

  • Multi-Specialty Clinic/Center
  • Avon, CO
  • NPI 1730747445

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1275814014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BUCK CREEK RD #200",
            "city": "AVON",
            "state": "CO",
            "postal_code": "81620",
            "telephone_number": "970-926-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BUCK CREEK RD #200",
            "city": "AVON",
            "state": "CO",
            "postal_code": "81620",
            "telephone_number": "970-926-6340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9485 W Colfax Ave",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802153918",
            "country_code": "US",
            "telephone_number": "303-425-0300",
            "fax_number": "303-432-5071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELIZALDE",
        "first_name": "JOSE",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-07",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09924773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eagle Valley Behavioral Health
• Eagle Valley Behavioral Health
• Eagle-Summit Foot & Ankle, P.C.
• Eagle-Summit Foot & Ankle, P.C.
• Kevin D Eckard, D.C.
• Sarah Kristine Ellefson, PT
• Empower Integrative Health
• Encourage Mente PLLC
• Encourage Psychiatry
• Encourage Therapy LLC

• Clinical Social Worker in Avon, CO
• Providers in Avon, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.