Individual provider Active NPI

Drew Isabella Feldbaum

  • Clinical Social Worker
  • Boulder, CO
National Provider Identifier
1295364776
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L16863 Issued in OR
Practice address
1601 29TH St Ste 12921209
Boulder, CO 80301-1009
Phone
(720) 340-1509
NPI assigned
Apr 6, 2020
Last updated
Oct 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Social Worker 1041C0700X L16863 OR Primary

Addresses

Primary practice location

1601 29TH St Ste 12921209
Boulder, CO 80301-1009

Mailing address

1601 29TH St Ste 12921209
Boulder, CO 80301-1009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20251103002935 OR Practitioner - Clinical Social Worker 8921598541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Rehabilitation Associates LLCGroup PAC ID 3476547258, 8 clinicians

Practice addresses (Care Compare)

4640 S Macadam Ave
Suite 90
Portland, OR 97239-4285
Phone (503) 292-0765

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L16863ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Rehabilitation Associates LLC CurrentSince Oct 14, 2025 Accepting new patients

Locations

4640 S Macadam Ave
Ste 90
Portland, OR 97239
Phone (503) 292-0765

Organizations & group practices 5

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": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1295364776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 29TH ST STE 12921209",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 29TH ST STE 12921209",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011009",
            "telephone_number": "720-340-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDBAUM",
        "first_name": "DREW",
        "middle_name": "ISABELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L16863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.