Active NPI
Carol Bunnell Ilvonen, MSW, LCSW
- Clinical Social Worker
- Denver, CO
National Provider Identifier
1497967830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 876458
- Practice address
- 455 S Hudson St
Suite 101a
Denver, CO 80246-1479 - Phone
- (303) 649-8979
- NPI assigned
- May 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 876458 | CO | Primary |
Addresses
Primary practice location
455 S Hudson St
Suite 101a
Denver, CO 80246-1479
Mailing address
240 S Milwaukee St
Denver, CO 80209-3216
Phone (303) 777-1079
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
| License | State | Type | Specialty |
|---|---|---|---|
| 876458 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497967830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 S MILWAUKEE ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802093216",
"telephone_number": "303-777-1079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 S HUDSON ST",
"address_2": "SUITE 101A",
"city": "DENVER",
"state": "CO",
"postal_code": "802461479",
"telephone_number": "303-649-8979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILVONEN",
"first_name": "CAROL",
"middle_name": "BUNNELL",
"name_prefix": "Ms.",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "876458",
"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.