Active NPI
Meritsa Eugene
- School Social Worker
- Aurora, CO
National Provider Identifier
1538993233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 24456345
- Practice address
- 354 Dearborn Way
Apt. 401
Aurora, CO 80011 - Phone
- (615) 535-3900
- NPI assigned
- Aug 27, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 24456345 | CO | Primary |
Addresses
Primary practice location
354 Dearborn Way
Apt. 401
Aurora, CO 80011
Mailing address
17530 NE 8TH PL
Miami, FL 33162-2117
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 |
|---|---|---|---|
| 24456345 | CO | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724716800000",
"number": "1538993233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17530 NE 8TH PL",
"city": "MIAMI",
"state": "FL",
"postal_code": "331622117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 DEARBORN WAY",
"address_2": "APT. 401",
"city": "AURORA",
"state": "CO",
"postal_code": "80011",
"telephone_number": "615-535-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EUGENE",
"first_name": "MERITSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-27",
"last_updated": "2024-08-27",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "CO",
"license": "24456345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.