Active NPI
Amy Annesley, LCSW LLC
- Clinical Social Worker
- Broomfield, CO
National Provider Identifier
1437676608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.09923137
- Legal business name
- AMY ANNESLEY, LCSW LLC
- Practice address
- 2095 W 6TH Ave Ste 213
Broomfield, CO 80020-1881 - Phone
- (720) 419-4473
- NPI assigned
- Aug 28, 2017
- Last updated
- Aug 28, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Amy L Annesley, LCSW
- Title
- Sole Provider
- Phone
- (720) 419-4473
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW.09923137 | CO | Primary |
Addresses
Primary practice location
2095 W 6TH Ave Ste 213
Broomfield, CO 80020-1881
Mailing address
825 Marble St
Broomfield, CO 80020-1762
Phone (720) 419-4473
National Provider Directory
National Provider DirectoryLocations
2095 W 6th Ave
Ste 213
Broomfield, CO 80020
Phone (720) 419-4473
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Broomfield, CO
- NPI 1134335904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1503878400000",
"number": "1437676608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 MARBLE ST",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800201762",
"telephone_number": "720-419-4473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2095 W 6TH AVE STE 213",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800201881",
"telephone_number": "720-419-4473"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMY ANNESLEY, LCSW LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-28",
"last_updated": "2017-08-28",
"status": "A",
"authorized_official_last_name": "ANNESLEY",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "SOLE PROVIDER",
"authorized_official_telephone_number": "720-419-4473",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09923137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broomfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.