Active NPI
Myriam Ann Spadafora, LCSW
- Clinical Social Worker
- Castle Rock, CO
National Provider Identifier
1396803094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 070333
- Practice address
- 7392 Oasis Dr
Castle Rock, CO 80108-8578 - Phone
- (516) 849-1533
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 063174-1 | NY | |
| Clinical Social Worker | 1041C0700X | 099255233 | CO | |
| Clinical Social Worker | 1041C0700X | 070333 | NY | Primary |
Addresses
Primary practice location
7392 Oasis Dr
Castle Rock, CO 80108-8578
Mailing address
7392 Oasis Dr
Castle Rock, CO 80108-8578
Phone (516) 849-1533
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P2725672 | Other | NY | OXFORD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 099255233 | CO | MD | Clinical Social Worker |
| 063174-1 | NY | MD | Clinical Social Worker |
| 070333 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684972800000",
"number": "1396803094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7392 OASIS DR",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801088578",
"telephone_number": "516-849-1533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7392 OASIS DR",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801088578",
"telephone_number": "516-849-1533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPADAFORA",
"first_name": "MYRIAM",
"middle_name": "ANN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "063174-1",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "099255233",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "070333",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2725672",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Castle Rock, CO
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- Southern Way Surgical Inc.
- Sowash Optometry Group, P.C. (Visionworks)
- Sozo Chiropractic LLC
- Spark Counseling, LLC
- Edward Spark, PHARMD
- Sparq Physical Therapy LLC (Sparq PT)
- Chelsea Spates, M.ED., BCBA
- Speech Therapy Co LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.