Individual provider Active NPI

Nancy Susan Perry, L.C.S.W.

  • Clinical Social Worker
  • Wheat Ridge, CO
National Provider Identifier
1588966766
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
991505 Issued in CO
Practice address
7651 W 41St Ave Ste 200
Wheat Ridge, CO 80033-4567
Phone
(303) 430-4136
NPI assigned
Nov 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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 991505 CO Primary

Addresses

Primary practice location

7651 W 41St Ave Ste 200
Wheat Ridge, CO 80033-4567

Mailing address

PO Box 746295
Arvada, CO 80006-6295
Phone (303) 430-4136

Other practice location 1

225 Union Blvd
Suite 150
Lakewood, CO 80228-1858
Phone (303) 430-4136

Other practice location 2

7651 W 41st Ave # 3200
Wheat Ridge, CO 80033
Phone (303) 430-4136

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1588966766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746295",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800066295",
            "telephone_number": "303-430-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7651 W 41ST AVE STE 200",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334567",
            "telephone_number": "303-430-4136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Union Blvd",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802281858",
            "country_code": "US",
            "telephone_number": "303-430-4136",
            "fax_number": "303-430-4136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7651 W 41st Ave # 3200",
            "address_purpose": "LOCATION",
            "city": "Wheat Ridge",
            "state": "CO",
            "postal_code": "80033",
            "country_code": "US",
            "telephone_number": "303-430-4136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "NANCY",
        "middle_name": "SUSAN",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-22",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "991505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.