Active NPI
Carolyn Doreen Scudder, LCSW
- Clinical Social Worker
- Westminster, CO
National Provider Identifier
1417098914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 992908
- Practice address
- 1941 W 135TH PL
Westminster, CO 80234-1075 - Phone
- (303) 280-2191
- NPI assigned
- Feb 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 992908 | CO | Primary |
Addresses
Primary practice location
1941 W 135TH PL
Westminster, CO 80234-1075
Mailing address
1941 W 135TH PL
Westminster, CO 80234-1075
Phone (720) 987-8203
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 |
|---|---|---|---|
| 992908 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209081600000",
"number": "1417098914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1941 W 135TH PL",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "802341075",
"telephone_number": "720-987-8203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1941 W 135TH PL",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "802341075",
"telephone_number": "303-280-2191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCUDDER",
"first_name": "CAROLYN",
"middle_name": "DOREEN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2008-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "992908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, CO
- SCL Physicians - RMPC LLC (RMPC - Westminster)
- Scott Clemens MD PLLC (Elite Internal Medicine)
- Brittney Scott, PHARMD
- Carmen Scott, MT-BC, NMT
- Marissa Paige Scowcroft
- Sdi LLC
- Robb Seal, C.M.T.
- Jaclyn Suzanne Sealy, APRN PMHNP
- Dakota Ann Sears, DPT
- Seasons Hospice & Palliative Care of Colorado LLC (AccentCare Hospice & Palliative Care of Colorado)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.