Individual provider Active NPI

Anthony Braun

  • Clinical Social Worker
  • Durango, CO
National Provider Identifier
1285182212
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09926509 Issued in CO
Practice address
281 Sawyer Dr Ste 100
Durango, CO 81303-3409
Phone
(970) 335-2232
Fax
(970) 565-9005
NPI assigned
Sep 20, 2016
Last updated
Jun 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 0009921839 CO
Clinical Social Worker 1041C0700X 09926509 CO Primary

Addresses

Primary practice location

281 Sawyer Dr Ste 100
Durango, CO 81303-3409

Mailing address

3967 County Road 116
Hesperus, CO 81326-9482
Phone (646) 772-8283

Other practice location 1

3967 County Road 116
Hesperus, CO 81326
Phone (646) 772-8283

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
I20200417001711 CO Practitioner - Clinical Social Worker 4587094347 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3967 County Rd
Suite 116
Hesperus, CO 81326-9482
Phone (646) 772-8283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0009921839COMDSocial Worker
09926509COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Nov 17, 2021 Accepting new patients
Silver Mountain Psychotherapy, LLC Clinical CurrentSince Jul 1, 2021 Accepting new patients
Silver Mountain Psychotherapy, LLC Clinical CurrentSince Jul 1, 2021 Accepting new patients
Southwest Colorado Mental Health Center, Inc PastSince Feb 6, 2020 Accepting new patients

Locations

2257 Main Ave
Ste D
Durango, CO 81301
Phone (970) 239-1791

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

Organizations & group practices 4

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": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1285182212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3967 COUNTY ROAD 116",
            "city": "HESPERUS",
            "state": "CO",
            "postal_code": "813269482",
            "telephone_number": "646-772-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 SAWYER DR STE 100",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813033409",
            "telephone_number": "970-335-2232",
            "fax_number": "970-565-9005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3967 County Road 116",
            "address_purpose": "LOCATION",
            "city": "Hesperus",
            "state": "CO",
            "postal_code": "81326",
            "country_code": "US",
            "telephone_number": "646-772-8283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAUN",
        "first_name": "ANTHONY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-20",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "0009921839",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09926509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.