Active NPI
Erik Stephen Bernotski, LCSW
- Clinical Social Worker
- Denver, CO
National Provider Identifier
1326173063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 24470
- Practice address
- 2150 Broadway
Denver, CO 80205-2537 - Phone
- (303) 296-2244
- Fax
- (303) 296-1709
- NPI assigned
- Feb 22, 2007
- Sex
- Male
- 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 | 24470 | ID | Primary |
Addresses
Primary practice location
2150 Broadway
Denver, CO 80205-2537
Mailing address
2150 Broadway
Denver, CO 80205-2537
Phone (303) 296-2244
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 |
|---|---|---|---|
| 24470 | ID | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gary W. Lee | Past | Accepting new patients | |
| Evelyn Mallea, CHTD | Clinical | Past | Accepting new patients |
| Phonda Hackett, PSYD | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Nursing Care Agency
- Denver, CO
- NPI 1902958358
-
- Clinical Psychologist
- Denver, CO
- NPI 1326261926
-
- Clinical Social Worker
- Twin Falls, ID
- NPI 1770671372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203897600000",
"number": "1326173063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 BROADWAY",
"city": "DENVER",
"state": "CO",
"postal_code": "802052537",
"telephone_number": "303-296-2244",
"fax_number": "303-296-1709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 BROADWAY",
"city": "DENVER",
"state": "CO",
"postal_code": "802052537",
"telephone_number": "303-296-2244",
"fax_number": "303-296-1709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNOTSKI",
"first_name": "ERIK",
"middle_name": "STEPHEN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2008-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "24470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.