Individual provider Active NPI

Maria Isabel Mendoza Moses, LCSW

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1447567508
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09927886 Issued in CO
Practice address
1405 Federal Blvd
Denver, CO 80204-2211
Phone
(303) 504-1500
NPI assigned
Sep 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09927886 CO Primary
Mental Health Counselor 101YM0800X NLC0107904 CO

Addresses

Primary practice location

1405 Federal Blvd
Denver, CO 80204-2211

Mailing address

1405 Federal Blvd
Denver, CO 80204-2211
Phone (303) 504-1500

Other names 1

  • Maria Isabel Mendoza Former name

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
I20211221000021 CO Practitioner - Clinical Social Worker 7113318478 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NLC0107904COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Center of Denver CurrentSince Nov 15, 2021 Accepting new patients
Mental Health Center of Denver CurrentSince Nov 15, 2021 Accepting new patients

Locations

1405 Federal Blvd
Denver, CO 80204
Phone (303) 504-1500

3401 Eudora St
Denver, CO 80207
Phone (303) 300-6266

4141 E Dickenson Pl
Denver, CO 80222
Phone (303) 504-6509

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1447567508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802042211",
            "telephone_number": "303-504-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802042211",
            "telephone_number": "303-504-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "MARIA",
        "middle_name": "ISABEL MENDOZA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-09",
        "last_updated": "2022-07-21",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09927886",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "NLC0107904",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "MENDOZA",
            "middle_name": "ISABEL",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.