Individual provider Active NPI

Allison Rex, LCSW

  • Clinical Social Worker
  • Arvada, CO
National Provider Identifier
1396038428
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09923589 Issued in CO
Practice address
5460 Ward Rd Ste 150
Arvada, CO 80002-1828
Phone
(720) 975-8031
NPI assigned
May 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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 CSW.09923589 CO Primary

Addresses

Primary practice location

5460 Ward Rd Ste 150
Arvada, CO 80002-1828

Mailing address

5460 Ward Rd Ste 150
Arvada, CO 80002-1828
Phone (720) 975-8031

Other identifiers 1

IdentifierTypeStateIssuer
29489733MedicaidCO

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
I20141112002498 CO Practitioner - Clinical Social Worker 9537381207 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Channel Therapy Mental Health CurrentSince Dec 2, 2024 Accepting new patients
Blue Channel Therapy Clinical PastSince Jun 26, 2022 Accepting new patients

Locations

5460 Ward Rd
Ste 150
Arvada, CO 80002
Phone (720) 295-7548

8781 Sheridan Blvd
Westminster, CO 80003
Phone (719) 789-7704

Organizations & group practices 2

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": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1396038428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5460 WARD RD STE 150",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800021828",
            "telephone_number": "720-975-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 WARD RD STE 150",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800021828",
            "telephone_number": "720-975-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REX",
        "first_name": "ALLISON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-23",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09923589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29489733",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.