Luis Felipe Diaz, RP
Individual provider Active NPI Clinical Social Worker · Frederick, CO
NPI 1285259010 · NPPES record last updated Jan 12, 2023
Key facts
- NPI
- 1285259010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CSW.09928919 (CO)
- Practice address
- 5995 Iris Pkwy
Frederick, CO 80504-6412 - Phone
- (303) 697-2583
- NPI assigned
- Jun 8, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Intermountain Medical Group Denver LLC
Practice addresses (Care Compare)
Broomfield, CO 80021
Phone (720) 807-4461
16570 Washington St
Larkridge Clinic
Thornton, CO 80023-8964
Phone (303) 689-6600
8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230124002311 | CO | Practitioner - Clinical Social Worker | 1456773852 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NLC.0006396 | CO | MD | Professional Counselor |
| CSW.09928919 | CO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Group Denver, LLC | Current |
Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Current |
Accepting new patients |
Locations
8350 Wcr 13
Unit 160
Firestone, CO 80504
Phone (303) 689-5160
1450 Dexter St
Ste 101
Fort Lupton, CO 80621
Phone (303) 857-2087
16570 Washington St
Thornton, CO 80023
Phone (303) 498-1885
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NLC.0006396 | CO | |
| Clinical Social Worker | 1041C0700X | CSW.09928919 | CO | Yes |
Addresses
Primary practice location
5995 Iris Pkwy
Frederick, CO 80504-6412
Mailing address
203 S Rollie Ave
Fort Lupton, CO 80621-1508
Phone (303) 697-2583
Other providers in Frederick, CO
- Crossroads Surgical Assisting LLC
- Michael Joseph Daly
- Erin Daugherty
- Bryan Decker
- Dentists of Frederick, LLP
- Dillon Companies LLC
- Stephanie Donnelly
- Nathan Dutcher
- Gina Marie Edwards
- Catherine Jill Eich
All providers in Frederick, CO · Clinical Social Worker in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.