Individual provider Active NPI

Kelly Elizabeth Calak

  • School Social Worker
  • Loveland, CO
National Provider Identifier
1336564590
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
104080 Issued in CO
Practice address
1000 S Lincoln Ave
Loveland, CO 80537-6358
Phone
(970) 344-1380
NPI assigned
Feb 25, 2014
Last updated
Feb 25, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 104080 CO Primary

Addresses

Primary practice location

1000 S Lincoln Ave
Loveland, CO 80537-6358

Mailing address

10260 Washington St
1717
Thornton, CO 80229-2053
Phone (716) 867-7306

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
104080COMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Reflections for Youth Inc Past Accepting new patients

Organizations & group practices 1

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": "1393286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393286400000",
    "number": "1336564590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10260 WASHINGTON ST",
            "address_2": "1717",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802292053",
            "telephone_number": "716-867-7306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S LINCOLN AVE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805376358",
            "telephone_number": "970-344-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALAK",
        "first_name": "KELLY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-25",
        "last_updated": "2014-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "CO",
            "license": "104080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.