Charlotte Cary – Clinical Social Worker

Key facts

NPI: 1457083826
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: 09930505 (CO)
Practice address: 5375 Riverbend Ave
Firestone, CO 80504-5368
Phone: (303) 332-3418
NPI assigned: Jun 25, 2022
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Otter Care Therapy Clinical Social Worker · Firestone, CO · NPI 1417799446

NPD CLINICAL

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
09930505	CO	MD	Clinical Social Worker
24460395	CO	MD	School Social Worker

Practice roles

Organization	Specialty	Status	New patients
Otter Care Therapy	Clinical	Current since Jun 16, 2024	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
School Social Worker	1041S0200X	24460395	CO
Clinical Social Worker	1041C0700X	09930505	CO	Yes

Addresses

Primary practice location

5375 Riverbend Ave
Firestone, CO 80504-5368

Mailing address

5375 Riverbend Ave
Firestone, CO 80504-5368
Phone (303) 332-3418

Other providers in Firestone, CO

All providers in Firestone, CO · Clinical Social Worker in Colorado

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.