Active NPI
Elizabeth Earnest, LCSW
- Clinical Social Worker
- Littleton, CO
National Provider Identifier
1427478627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.09923282
- Practice address
- 5575 S Sycamore St Ste 108
Littleton, CO 80120-1141 - Phone
- (720) 775-0151
- Fax
- (303) 265-9988
- NPI assigned
- Apr 26, 2014
- Last updated
- May 6, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW.09923282 | CO | Primary |
Addresses
Primary practice location
5575 S Sycamore St Ste 108
Littleton, CO 80120-1141
Mailing address
9249 S Broadway Ste 811
Highlands Ranch, CO 80129-5690
Phone (720) 775-0151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09255346 | Medicaid | CO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 3032659988 |
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 |
|---|---|---|---|
| CSW.09923282 | CO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Actualize Behavior Alternatives | Current | Accepting new patients | |
| Actualize Behavior | Clinical | Current | Accepting new patients |
| Actualize Behavior Alternatives | Clinical | Current | Accepting new patients |
Locations
9249 S Broadway
Ste 811
Highlands Ranch, CO 80129
5575 S Sycamore St
Ste 108
Littleton, CO 80120
Phone (720) 775-0151
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Littleton, CO
- NPI 1497320493
-
- Clinical Social Worker
- Littleton, CO
- NPI 1902251705
-
- Behavior Analyst
- Littleton, CO
- NPI 1033917398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588723200000",
"number": "1427478627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9249 S BROADWAY STE 811",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801295690",
"telephone_number": "720-775-0151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5575 S SYCAMORE ST STE 108",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801201141",
"telephone_number": "720-775-0151",
"fax_number": "303-265-9988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARNEST",
"first_name": "ELIZABETH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-26",
"last_updated": "2020-05-06",
"certification_date": "2020-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09923282",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09255346",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "3032659988",
"affiliation": "N",
"address_1": "5575 S Sycamore St Ste 108",
"city": "Littleton",
"state": "CO",
"country_code": "US",
"postal_code": "801201141",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Littleton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.