Individual provider Active NPI

Susan Nofziger, MSW, LCSW

  • Clinical Social Worker
  • Boulder, CO
National Provider Identifier
1588770218
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CO 991237 Issued in CO
Practice address
350 Broadway St
Ste 205
Boulder, CO 80305-3338
Phone
(303) 579-2646
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 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 CO 991237 CO Primary

Addresses

Primary practice location

350 Broadway St
Ste 205
Boulder, CO 80305-3338

Mailing address

350 Broadway St
Ste 205
Boulder, CO 80305-3338
Phone (303) 579-2646

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
I20040907000562 CO Practitioner - Clinical Social Worker 6204802788 Practice locations: Boulder, CO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

350 Broadway St
Boulder, CO 80305-3338
Phone (303) 579-2646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CO 991237COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Longmont United Hospital Past Accepting new patients

Organizations & group practices 1

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1588770218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 BROADWAY ST",
            "address_2": "STE 205",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803053338",
            "telephone_number": "303-579-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BROADWAY ST",
            "address_2": "STE 205",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803053338",
            "telephone_number": "303-579-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOFZIGER",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CO 991237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.