Active NPI
Georgia Shepard Angelo
- Clinical Social Worker
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 09924378
- Practice address
- 2696 S Colorado Blvd
Suite 380
Denver, CO 80222-5945 - Phone
- (303) 639-5240
- Fax
- (303) 639-5243
- NPI assigned
- Sep 9, 2009
- Last updated
- May 6, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 09924378 | CO | Primary |
Addresses
Primary practice location
2696 S Colorado Blvd
Suite 380
Denver, CO 80222-5945
Mailing address
2696 S Colorado Blvd
Suite 380
Denver, CO 80222-5945
Phone (303) 639-5240
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Counseling Center | Current | Accepting new patients |
Locations
2696 S Colorado Blvd
Ste 380
Denver, CO 80222
Phone (303) 565-6103
7887 E Belleview Ave
Ste 1100
Englewood, CO 80111
Phone (303) 228-1649
8997 S Broadway
#C
Highlands Ranch, CO 80129
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, 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": "1252454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494028800000",
"number": "1588997514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2696 S COLORADO BLVD",
"address_2": "SUITE 380",
"city": "DENVER",
"state": "CO",
"postal_code": "802225945",
"telephone_number": "303-639-5240",
"fax_number": "303-639-5243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2696 S COLORADO BLVD",
"address_2": "SUITE 380",
"city": "DENVER",
"state": "CO",
"postal_code": "802225945",
"telephone_number": "303-639-5240",
"fax_number": "303-639-5243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGELO",
"first_name": "GEORGIA",
"middle_name": "SHEPARD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-09",
"last_updated": "2017-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "09924378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.