Individual provider Active NPI

Alisa M Harnden, MSW LCSW

  • Clinical Social Worker
  • Steamboat Springs, CO
National Provider Identifier
1457595712
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9923733 Issued in CO
Practice address
407 South Lincoln Ave
Steamboat Springs, CO 80487
Phone
(970) 879-2141
Fax
(970) 879-7912
NPI assigned
Apr 29, 2009
Last updated
Jan 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9923733 CO Primary

Addresses

Primary practice location

407 South Lincoln Ave
Steamboat Springs, CO 80487

Mailing address

715 Horizon Dr
Ste 225
Grand Junction, CO 81506-8700
Phone (970) 683-7107

Other practice location 1

1024 Central Park Dr
Steamboat Springs, CO 80487-8813
Phone (970) 879-1322

Other names 1

  • Alisa M Dean 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
I20160511001364 CO Practitioner - Clinical Social Worker 4385833755 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

11820 Destination Dr
Broomfield, CO 80021-2518
Phone (720) 848-0000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9923733COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC Current Accepting new patients
Colorado West Regional Mental Health, Inc. CurrentSince Apr 4, 2016 Accepting new patients
Yampa Valley Medical Center Current Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jan 5, 2020 Accepting new patients
Colorado West Regional Mental Health Inc. Current Accepting new patients
Yampa Valley Medical Center Current Accepting new patients
Yampa Valley Medical Center CurrentSince Mar 27, 2020 Accepting new patients
Colorado West Regional Mental Health, Inc. CurrentSince Apr 4, 2016 Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
Colorado West Regional Mental Health, Inc. PastSince Aug 25, 2024 Accepting new patients
Colorado West Regional Mental Health, Inc. PastSince Jul 31, 2023 Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
Colorado West Regional Mental Health Inc. Past Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients

Locations

11820 Destination Dr
Broomfield, CO 80021
Phone (303) 460-6000

439 Breeze St
Ste 200
Craig, CO 81625
Phone (970) 824-6541

595 Russell St
Craig, CO 81625
Phone (970) 824-1020

2802 Grand Ave
Glenwood Springs, CO 81601
Phone (970) 945-2583

715 Horizon Dr
Ste 225
Grand Junction, CO 81506
Phone (970) 683-7107

707 Wapiti Ct
Rifle, CO 81650
Phone (970) 945-8683

707 Wapiti Ct
Unit 202B
Rifle, CO 81650
Phone (970) 625-3582

1024 Central Park Dr
Steamboat Springs, CO 80487
Phone (970) 824-1322

Organizations & group practices 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1457595712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 HORIZON DR",
            "address_2": "STE 225",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068700",
            "telephone_number": "970-683-7107",
            "fax_number": "970-683-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 SOUTH LINCOLN AVE",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "80487",
            "telephone_number": "970-879-2141",
            "fax_number": "970-879-7912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1024 Central Park Dr",
            "address_purpose": "LOCATION",
            "city": "Steamboat Springs",
            "state": "CO",
            "postal_code": "804878813",
            "country_code": "US",
            "telephone_number": "970-879-1322",
            "fax_number": "970-871-2571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARNDEN",
        "first_name": "ALISA",
        "middle_name": "M",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-29",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "9923733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISA",
            "last_name": "DEAN",
            "middle_name": "M",
            "credential": "MSW LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Steamboat Springs, CO

Sources for this page

Verify at the official NPI Registry.