NPIMap

Individual provider Active NPI

Anne Valentine Nickamin, LCSW

  • Clinical Social Worker
  • Carbondale, CO
National Provider Identifier
1578717351
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9923388 Issued in CO
Practice address
326 Highway 133
Ste a
Carbondale, CO 81623-2507
Phone
(970) 274-6899
NPI assigned
Nov 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2016

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 9923388 CO Primary

Addresses

Primary practice location

326 Highway 133
Ste a
Carbondale, CO 81623-2507

Mailing address

326 Highway 133
Ste a
Carbondale, CO 81623-2507
Phone (970) 274-6899

Other names 1

  • Anne Thompson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140924002015 CO Practitioner - Clinical Social Worker 9537388517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2802 Grand Ave
Glenwood Springs, CO 81601-4428
Phone (970) 945-2583

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9923388COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado West Regional Mental Health Inc. Current Accepting new patients
Colorado West Regional Mental Health, Inc. CurrentSince May 11, 2020 Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
Colorado West Regional Mental Health, Inc. PastSince Jul 31, 2023 Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
Colorado West Regional Mental Health Inc. Past Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
Colorado West Regional Mental Health, Inc. PastSince Aug 25, 2024 Accepting new patients

Locations

439 Breeze St
Ste 200
Craig, CO 81625
Phone (970) 824-6541

2802 Grand Ave
Glenwood Springs, CO 81601
Phone (970) 945-2583

715 Horizon Dr
Ste 225
Grand Junction, CO 81506
Phone (970) 683-7107

707 Wapiti Ct
Unit 202B
Rifle, CO 81650
Phone (970) 625-3582

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1578717351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 HIGHWAY 133",
            "address_2": "STE A",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816232507",
            "telephone_number": "970-274-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 HIGHWAY 133",
            "address_2": "STE A",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816232507",
            "telephone_number": "970-274-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKAMIN",
        "first_name": "ANNE",
        "middle_name": "VALENTINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-06",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "9923388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "THOMPSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carbondale, CO

Sources for this page

Verify at the official NPI Registry.