Individual provider Active NPI

Maribarbara McGinnis Lane, LCSW

  • Clinical Social Worker
  • Highlands Ranch, CO
National Provider Identifier
1548601719
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
991080 Issued in CO
Practice address
8671 S Quebec St Ste 210
Highlands Ranch, CO 80130-5861
Phone
(720) 220-4401
Fax
(201) 939-3132
NPI assigned
Jul 16, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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 991080 CO Primary

Addresses

Primary practice location

8671 S Quebec St Ste 210
Highlands Ranch, CO 80130-5861

Mailing address

10572 Harebell Run
Littleton, CO 80125-9249
Phone (720) 220-4401

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
I20160202002246 CO Practitioner - Clinical Social Worker 4789988320 Practice locations: Littleton, CO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7345 S Pierce St 202
Suite 1
Littleton, CO 80128-4592
Phone (720) 220-4401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
991080COMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1548601719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10572 HAREBELL RUN",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801259249",
            "telephone_number": "720-220-4401",
            "fax_number": "201-939-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8671 S QUEBEC ST STE 210",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801305861",
            "telephone_number": "720-220-4401",
            "fax_number": "201-939-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGINNIS LANE",
        "first_name": "MARIBARBARA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "991080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

Verify at the official NPI Registry.