Individual provider Active NPI

Michael Marsico, MSW, LCSW

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1548812886
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09926372 Issued in CO
Practice address
4242 Delaware St
Denver, CO 80216-2618
Phone
(303) 825-8119
NPI assigned
Jul 16, 2019
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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 CSW.09926372 CO Primary

Addresses

Primary practice location

4242 Delaware St
Denver, CO 80216-2618

Mailing address

4242 Delaware St
Denver, CO 80216-2618

Other practice location 1

8931 Huron St
Thornton, CO 80260-6806
Phone (303) 853-3500

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
I20240719003286 CO Practitioner - Clinical Social Worker 2860938354 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09926372COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Reach Center, Inc CurrentSince Apr 13, 2024 Accepting new patients
Community Reach Center, Inc CurrentSince Apr 13, 2024 Accepting new patients

Locations

4371 E 72nd Ave
Commerce City, CO 80022
Phone (303) 286-4973

11285 Highline Dr
Northglenn, CO 80233
Phone (303) 853-3400

690 W 84th Ave
Thornton, CO 80260

8889 Fox Dr
Thornton, CO 80260
Phone (303) 430-0823

8931 Huron St
Thornton, CO 80260
Phone (303) 853-3433

8989 Huron St
Thornton, CO 80260
Phone (303) 853-3511

1870 W 122nd Ave
Ste 100
Westminster, CO 80234
Phone (303) 853-3800

Interoperability endpoints

  • Direct secure messaging: michael.marsico.p2@direct.communityreachcenter.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1548812886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 DELAWARE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802162618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 DELAWARE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802162618",
            "telephone_number": "303-825-8119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8931 Huron St",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802606806",
            "country_code": "US",
            "telephone_number": "303-853-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSICO",
        "first_name": "MICHAEL",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-16",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09926372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.