Individual provider Active NPI

Myriam Beltran, MSW, LCSW

  • Clinical Social Worker
  • Lafayette, CO
National Provider Identifier
1457603847
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09927433 Issued in CO
Practice address
400 E Simpson St Ste 210
Lafayette, CO 80026-2360
Phone
(720) 878-0397
NPI assigned
Oct 9, 2012
Last updated
Mar 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Social Worker 1041C0700X 101775 CA
Clinical Social Worker 1041C0700X 09927433 CO Primary

Addresses

Primary practice location

400 E Simpson St Ste 210
Lafayette, CO 80026-2360

Mailing address

400 E Simpson St Ste 210
Lafayette, CO 80026-2360
Phone (720) 878-0397

Other practice location 1

2686 Spring St
Redwood City, CA 94063-3522
Phone (650) 368-3345

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
I20211006000849 CO Practitioner - Clinical Social Worker 3678971611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 E Simpson St
Suite 210
Lafayette, CO 80026-2360
Phone (720) 878-0397

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101775CAMDClinical Social Worker
09927433COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Citta Sana PLLC CurrentSince May 10, 2022 Accepting new patients

Locations

400 E Simpson St
Ste 210
Lafayette, CO 80026
Phone (720) 443-1826

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1457603847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E SIMPSON ST STE 210",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262360",
            "telephone_number": "720-878-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E SIMPSON ST STE 210",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262360",
            "telephone_number": "720-878-0397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2686 Spring St",
            "address_purpose": "LOCATION",
            "city": "Redwood City",
            "state": "CA",
            "postal_code": "940633522",
            "country_code": "US",
            "telephone_number": "650-368-3345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELTRAN",
        "first_name": "MYRIAM",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-09",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "101775",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09927433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

Verify at the official NPI Registry.