Active NPI
Christie Delaine Wilson, LCSW
- Clinical Social Worker
- Olathe, CO
National Provider Identifier
1447325824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW- 1131
- Practice address
- 521 N. 3Rd St.
Olathe, CO 81425 - Phone
- (970) 252-4684
- Fax
- (970) 323-6117
- NPI assigned
- Nov 21, 2006
- Last updated
- Mar 17, 2011
- Sex
- Female
- Sole proprietor
- No
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- 1131 | CO | Primary |
Addresses
Primary practice location
521 N. 3Rd St.
Olathe, CO 81425
Mailing address
PO Box 1208
Montrose, CO 81402
Phone (870) 252-3200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12148934 | Other | CO | CAQH PROVIDER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW- 1131 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300320000000",
"number": "1447325824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1208",
"city": "MONTROSE",
"state": "CO",
"postal_code": "81402",
"telephone_number": "870-252-3200",
"fax_number": "970-252-3208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 N. 3RD ST.",
"city": "OLATHE",
"state": "CO",
"postal_code": "81425",
"telephone_number": "970-252-4684",
"fax_number": "970-323-6117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "CHRISTIE",
"middle_name": "DELAINE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2011-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW- 1131",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH PROVIDER",
"identifier": "12148934",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Olathe, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.