Individual provider Active NPI

Robert Anthony Gallegos, MSW, SWC, LAC

  • Clinical Social Worker
  • Thornton, CO
National Provider Identifier
1336002351
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWC.0000002362 Issued in CO
Practice address
2375 E 104TH Ave Unit 3301
Thornton, CO 80233-4465
Phone
(575) 209-0341
NPI assigned
Dec 5, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0002685 CO
Clinical Social Worker 1041C0700X SWC.0000002362 CO Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X CTB-2025-0953 NM

Addresses

Primary practice location

2375 E 104TH Ave Unit 3301
Thornton, CO 80233-4465

Mailing address

2375 E 104TH Ave Unit 3301
Thornton, CO 80233-4465
Phone (575) 209-0341

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ACD.0002685COMDAddiction (Substance Use Disorder) Counselor
CTB-2025-0953NMMDAddiction (Substance Use Disorder) Counselor
SWC.0000002362COMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1764892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1336002351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 E 104TH AVE UNIT 3301",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802334465",
            "telephone_number": "575-209-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 E 104TH AVE UNIT 3301",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802334465",
            "telephone_number": "575-209-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEGOS",
        "first_name": "ROBERT",
        "middle_name": "ANTHONY",
        "credential": "MSW, SWC, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-05",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0002685",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "SWC.0000002362",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "CTB-2025-0953",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.