Individual provider Active NPI

Gabrielle Pantalena, LCSW

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1427788017
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09930636 Issued in CO
Practice address
1339 S Federal Blvd
Denver, CO 80219-4235
Phone
(303) 602-0000
NPI assigned
Jun 15, 2022
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LSW.0009924292 CO
Clinical Social Worker 1041C0700X CSW.09930636 CO Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

1339 S Federal Blvd
Denver, CO 80219-4235

Mailing address

777 Bannock St
Denver, CO 80204-4507

Other practice location 1

1330 Fox St
Denver, CO 80204-2602
Phone (720) 337-4419

Other practice location 2

12600 Albrook Dr
Denver, CO 80239-4604
Phone (303) 602-4000

Other practice location 3

1001 Yosemite St
Denver, CO 80230-6003
Phone (303) 602-4545

Other practice location 4

4007 W Colfax Ave
Denver, CO 80204-1404
Phone (303) 602-5900

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
I20241231001442 CO Practitioner - Clinical Social Worker 7719414853 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSW.0009924292COMDSocial Worker
CSW.09930636COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Health and Hospital Authority CurrentSince Oct 27, 2024 Accepting new patients
Denver Health and Hospital Authority CurrentSince Oct 27, 2024 Accepting new patients
Denver Health and Hospital Authority Past Accepting new patients

Locations

12600 Albrook Dr
Denver, CO 80239
Phone (303) 602-4000

1339 S Federal Blvd
Denver, CO 80219
Phone (303) 602-0000

4455 E 12th Ave
Denver, CO 80220
Phone (303) 504-7799

777 Bannock St
Denver, CO 80204

777 Bannock St
#1923
Denver, CO 80204
Phone (303) 602-2720

1001 Yosemite St
Lowry, CO 80230
Phone (303) 436-4545

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1427788017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 BANNOCK ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 S FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802194235",
            "telephone_number": "303-602-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1330 Fox St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802042602",
            "country_code": "US",
            "telephone_number": "720-337-4419",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12600 Albrook Dr",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802394604",
            "country_code": "US",
            "telephone_number": "303-602-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Yosemite St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802306003",
            "country_code": "US",
            "telephone_number": "303-602-4545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4007 W Colfax Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802041404",
            "country_code": "US",
            "telephone_number": "303-602-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANTALENA",
        "first_name": "GABRIELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "LSW.0009924292",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09930636",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.