Individual provider Active NPI

Maya Sol Dansie, LCSW

  • Clinical Social Worker
  • Boulder, CO
National Provider Identifier
1528440765
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09925496 Issued in CO
Practice address
2338 Broadway St
Boulder, CO 80304-4107
Phone
(970) 903-2938
NPI assigned
Jun 24, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X LCSW100648 CA
Clinical Social Worker 1041C0700X CSW.09925496 CO Primary

Addresses

Primary practice location

2338 Broadway St
Boulder, CO 80304-4107

Mailing address

PO Box 21521
Boulder, CO 80308-4521
Phone (303) 443-8500

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
I20251126001976 CO Practitioner - Clinical Social Worker 8628560521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2338 Broadway St
Boulder, CO 80304-4107

PO Box
Suite 21521
Boulder, CO 80308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW100648CAMDClinical Social Worker
CSW.09925496COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mayamotion Healing PLLC CurrentSince Sep 17, 2025 Accepting new patients
Mayamotion Healing PLLC Clinical Past Accepting new patients
American Medical Response of Colorado Inc PastSince Jul 9, 2025 Accepting new patients
Mayamotion Healing PLLC Clinical Past Accepting new patients

Locations

2338 Broadway St
Unit A
Boulder, CO 80304
Phone (303) 835-7007

2338 Broadway St
Boulder, CO 80304
Phone (303) 449-0103

2595 Canyon Blvd
Ste 330
Boulder, CO 80302

Organizations & group practices 4

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": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1528440765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21521",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803084521",
            "telephone_number": "303-443-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2338 BROADWAY ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803044107",
            "telephone_number": "970-903-2938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANSIE",
        "first_name": "MAYA",
        "middle_name": "SOL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW100648",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09925496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.