Active NPI
Lavender Marlowe
- Clinical Social Worker
- Aurora, CO
National Provider Identifier
1356958284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.09927489
- Practice address
- 4810 S Zeno St
Aurora, CO 80015-3246 - Phone
- (575) 202-7961
- NPI assigned
- Sep 24, 2020
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 0009923201 | CO | |
| Clinical Social Worker | 1041C0700X | CSW.09927489 | CO | Primary |
Addresses
Primary practice location
4810 S Zeno St
Aurora, CO 80015-3246
Mailing address
3040 118TH Ave SE Apt H103
Bellevue, WA 98005-4171
Phone (720) 202-8442
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210820000324 | CO | Practitioner - Clinical Social Worker | 5698170231 | Practice locations: Aurora, CO |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0009923201 | CO | MD | Social Worker |
| CSW.09927489 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722384000000",
"number": "1356958284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3040 118TH AVE SE APT H103",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980054171",
"telephone_number": "720-202-8442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4810 S ZENO ST",
"city": "AURORA",
"state": "CO",
"postal_code": "800153246",
"telephone_number": "575-202-7961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARLOWE",
"first_name": "LAVENDER",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2020-09-24",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CO",
"license": "0009923201",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09927489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.