Individual provider Active NPI

Karen G Goodridge

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1417728221
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09930058 Issued in CO
Practice address
1750 N Lafayette St
Denver, CO 80218-1117
Phone
(720) 926-6766
NPI assigned
Jan 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 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 09930058 CO Primary

Addresses

Primary practice location

1750 N Lafayette St
Denver, CO 80218-1117

Mailing address

PO Box 181884
Denver, CO 80218-8835
Phone (720) 926-6766

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
I20250201000053 CO Practitioner - Clinical Social Worker 4385173525 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09930058COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain West Wisdom and Wellness, LLC Clinical CurrentSince Dec 1, 2024 Accepting new patients
Beth Barta LCSW Cac 111 LLC Clinical CurrentSince Oct 1, 2024 Accepting new patients

Locations

1750 N Lafayette St
Denver, CO 80218
Phone (720) 926-6766

7114 W Jefferson Ave
Ste 207
Lakewood, CO 80235
Phone (720) 258-6278

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": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1417728221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 181884",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802188835",
            "telephone_number": "720-926-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 N LAFAYETTE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181117",
            "telephone_number": "720-926-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODRIDGE",
        "first_name": "KAREN",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09930058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.