Organization Active NPI

Amy Annesley, LCSW LLC

  • Clinical Social Worker
  • Broomfield, CO
National Provider Identifier
1437676608
Registry record updated Aug 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09923137 Issued in CO
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2017

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

Authorized official

Name
Ms. Amy L Annesley, LCSWNPI 1134335904
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.