Active NPI
Sandra Kay Felt, LCSW
- Clinical Social Worker
- Colorado Springs, CO
National Provider Identifier
1285735670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 986097
- Practice address
- 1116 W Cucharras St
Colorado Springs, CO 80904-4336 - Phone
- (719) 475-8251
- Fax
- (719) 475-8260
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 986097 | CO | Primary |
Addresses
Primary practice location
1116 W Cucharras St
Colorado Springs, CO 80904-4336
Mailing address
1116 W Cucharras St
Colorado Springs, CO 80904-4336
Phone (719) 475-8251
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N50454987 | Other | CO | UNITED BEHAVIORAL HEALTH |
| 034128 | Other | CO | VALUE OPTIONS |
| 034128 | Medicaid | CO | |
| 078212 | Other | CO | MANAGED HEALTH NETWORK |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 986097 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285735670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1116 W CUCHARRAS ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809044336",
"telephone_number": "719-475-8251",
"fax_number": "719-475-8260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1116 W CUCHARRAS ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809044336",
"telephone_number": "719-475-8251",
"fax_number": "719-475-8260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELT",
"first_name": "SANDRA",
"middle_name": "KAY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "986097",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "N50454987",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "034128",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "034128",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "078212",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.