Individual provider Active NPI

Tanya Desiree Lurie, LCSW

  • Clinical Social Worker
  • Aurora, CO
National Provider Identifier
1306935358
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW 991775 Issued in CO
Practice address
1155 S Havana St 11-388
Aurora, CO 80012-4019
Phone
(720) 982-8554
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW 991775 CO Primary

Addresses

Primary practice location

1155 S Havana St 11-388
Aurora, CO 80012-4019

Mailing address

1155 S Havana St # 11-388
Aurora, CO 80012-4019
Phone (720) 744-2661

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
I20060228000262 CO Practitioner - Clinical Social Worker 5294741336 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

Denver, CO 80202
Phone (323) 205-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW 991775COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Community Provider Network Inc Current Accepting new patients
Fresh Perspective Counseling PLLC Clinical Current Accepting new patients
Metro Community Provider Network, Inc. CurrentSince Oct 12, 2022 Accepting new patients
Metro Community Provider Network Inc CurrentSince Oct 12, 2022 Accepting new patients

Locations

2255 S Oneida St
Denver, CO 80224

17866 Cottonwood Dr
Parker, CO 80134
Phone (303) 205-6899

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1306935358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 S HAVANA ST # 11-388",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124019",
            "telephone_number": "720-744-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 S HAVANA ST 11-388",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124019",
            "telephone_number": "720-982-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LURIE",
        "first_name": "TANYA",
        "middle_name": "DESIREE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW 991775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.