Individual provider Active NPI

Blake Lohman

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1376919928
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09925485 Issued in CO
Practice address
1405 Federal Blvd
Denver, CO 80204-2211
Phone
(720) 232-9485
NPI assigned
Aug 18, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 09925485 CO Primary

Addresses

Primary practice location

1405 Federal Blvd
Denver, CO 80204-2211

Mailing address

1405 Federal Blvd
Denver, CO 80204-2211
Phone (720) 232-9485

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
I20190801003110 CO Practitioner - Clinical Social Worker 6204162969 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09925485COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Center of Denver Current Accepting new patients
Mental Health Center of Denver CurrentSince Jun 13, 2019 Accepting new patients
Mental Health Center of Denver CurrentSince Jun 13, 2019 Accepting new patients

Locations

4141 E Dickenson Pl
Denver, CO 80222
Phone (303) 504-6509

1405 Federal Blvd
Denver, CO 80204
Phone (303) 504-1500

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": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1376919928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802042211",
            "telephone_number": "720-232-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802042211",
            "telephone_number": "720-232-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOHMAN",
        "first_name": "BLAKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-18",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09925485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.