Active NPI
Kelsey Carlson, MSW
- Clinical Social Worker
- Denver, CO
National Provider Identifier
1417350083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 09924893
- Practice address
- 3201 S Tamarac Dr
Denver, CO 80231 - Phone
- (303) 901-2614
- Fax
- (303) 309-6715
- NPI assigned
- Sep 26, 2014
- 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 | 09924893 | CO | Primary |
Addresses
Primary practice location
3201 S Tamarac Dr
Denver, CO 80231
Mailing address
3201 S Tamarac Dr
Denver, CO 80231-4360
Phone (303) 901-2614
Other practice location 1
11059 E Bethany Dr
Aurora, CO 80014-2622
Phone (303) 617-2300
Other practice location 2
11059 E Bethany Dr
Aurora, CO 80014-2622
Phone (303) 617-2300
Other practice location 3
730 21st St
Denver, CO 80205-2813
Phone (303) 974-2969
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09924893 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1417350083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 S TAMARAC DR",
"city": "DENVER",
"state": "CO",
"postal_code": "802314360",
"telephone_number": "303-901-2614",
"fax_number": "303-309-6715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 S TAMARAC DR",
"city": "DENVER",
"state": "CO",
"postal_code": "80231",
"telephone_number": "303-901-2614",
"fax_number": "303-309-6715"
}
],
"practiceLocations": [
{
"address_1": "11059 E Bethany Dr",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800142622",
"country_code": "US",
"telephone_number": "303-617-2300",
"fax_number": "303-617-2365",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11059 E Bethany Dr",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800142622",
"country_code": "US",
"telephone_number": "303-617-2300",
"fax_number": "303-617-2365",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "730 21st St",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802052813",
"country_code": "US",
"telephone_number": "303-974-2969",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARLSON",
"first_name": "KELSEY",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-26",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "09924893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.