Individual provider Active NPI

Julia Dengel, LCSW

  • Clinical Social Worker
  • Durango, CO
National Provider Identifier
1326411422
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09924731 Issued in CO
Practice address
2257 Main Ave Ste D
Durango, CO 81301-4660
Phone
(970) 239-1791
NPI assigned
Nov 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 0009920224 CO
Social Worker 104100000X 087645 NY
Clinical Social Worker 1041C0700X 09924731 CO Primary

Addresses

Primary practice location

2257 Main Ave Ste D
Durango, CO 81301-4660

Mailing address

3967 County Road 116
Hesperus, CO 81326-9482
Phone (646) 320-0377

Other practice location 1

3967 County Road 116
Hesperus, CO 81326-9482
Phone (970) 239-1791

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
I20210812000144 CO Practitioner - Clinical Social Worker 7618371626 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Silver Mountain Psychotherapy LLCGroup PAC ID 4183024797, 2 clinicians

Practice addresses (Care Compare)

3967 County Rd
Suite 116
Hesperus, CO 81326-9482
Phone (646) 772-8283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0009920224COMDSocial Worker
087645NYMDSocial Worker
09924731COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Mountain Psychotherapy, LLC Clinical CurrentSince Aug 5, 2021 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Nov 22, 2021 Accepting new patients
Silver Mountain Psychotherapy, LLC Clinical CurrentSince Aug 5, 2021 Accepting new patients

Locations

2257 Main Ave
Ste D
Durango, CO 81301
Phone (970) 239-1791

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

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.

NPI Registry JSON

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1326411422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3967 COUNTY ROAD 116",
            "city": "HESPERUS",
            "state": "CO",
            "postal_code": "813269482",
            "telephone_number": "646-320-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2257 MAIN AVE STE D",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014660",
            "telephone_number": "970-239-1791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3967 County Road 116",
            "address_purpose": "LOCATION",
            "city": "Hesperus",
            "state": "CO",
            "postal_code": "813269482",
            "country_code": "US",
            "telephone_number": "970-239-1791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENGEL",
        "first_name": "JULIA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-11",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "0009920224",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "087645",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09924731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.