Anne R. Shaul, MA LCSW
Individual provider Active NPI Clinical Social Worker · Aurora, CO
NPI 1457438871 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1457438871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 992068 (CO)
- Practice address
- 11059 E Bethany Dr
Suite 200
Aurora, CO 80014-2622 - Phone
- (303) 617-2300
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1735 S Public Rd
Lafayette, CO 80026-7093
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190826000500 | CO | Practitioner - Clinical Social Worker | 2163750498 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 992068 | CO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica Campesina Family Health Services | Current |
Accepting new patients | |
| Heart Centered Counseling, PC | Clinical | Current | Accepting new patients |
| Clinica Campesina Family Health Services | Current |
Accepting new patients |
Locations
1000 Alpine Ave
Boulder, CO 80304
Phone (303) 332-1250
320 W Olive St
Fort Collins, CO 80521
Phone (603) 361-7093
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 992068 | CO | Yes |
Addresses
Primary practice location
11059 E Bethany Dr
Suite 200
Aurora, CO 80014-2622
Mailing address
11059 E Bethany Dr
Suite 200
Aurora, CO 80014-2622
Phone (303) 617-2300
Other providers in Aurora, CO
- Gabrielle Sharp
- Jillian Grace Sharp
- Scott Ronald Sharp
- Stephanie Sharp
- Nancy R. Sharpe
- Emily Shaver
- Nicollette Shaver
- Patricia Shaver
- Theresa Lynn Shaver
- Brian Shaw
All providers in Aurora, 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 Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.