Individual provider Active NPI

Paula J. Defrisco, L.C.S.W.

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1477692283
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
992881 Issued in CO
Practice address
2239 Champa St
Denver, CO 80205-2531
Phone
(303) 587-0996
Fax
(303) 465-1439
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 992881 CO Primary

Addresses

Primary practice location

2239 Champa St
Denver, CO 80205-2531

Mailing address

1725 Peregrine CT
Broomfield, CO 80020-1266
Phone (303) 587-0996

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
992881COMDClinical Social Worker
27899CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Paula Defrisco, LCSW Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477692283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 PEREGRINE CT",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201266",
            "telephone_number": "303-587-0996",
            "fax_number": "303-465-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2239 CHAMPA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802052531",
            "telephone_number": "303-587-0996",
            "fax_number": "303-465-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFRISCO",
        "first_name": "PAULA",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "992881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.