Individual provider Active NPI

Casey Donohoe, LSW

  • Clinical Social Worker
  • Frisco, CO
National Provider Identifier
1598428567
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSW.0009923215 Issued in CO
Practice address
101 W Main St Ste O
Frisco, CO 80443-5513
Phone
(970) 200-8563
NPI assigned
Oct 18, 2021
Last updated
Apr 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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 LSW.0009923215 CO Primary

Addresses

Primary practice location

101 W Main St Ste O
Frisco, CO 80443-5513

Mailing address

5402 Montezuma Rd
Montezuma, CO 80435-7621
Phone (410) 952-5139

Other practice location 1

330 Fiedler Ave
Dillon, CO 80435-6930
Phone (970) 200-8563

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
I20221123000404 CO Practitioner - Clinical Social Worker 0042688046 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSW.0009923215COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ripple & Root Therapy LLC Clinical Current Accepting new patients
Summit Psychotherapy, PLLC Clinical CurrentSince Nov 1, 2022 Accepting new patients

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": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1598428567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 MONTEZUMA RD",
            "city": "MONTEZUMA",
            "state": "CO",
            "postal_code": "804357621",
            "telephone_number": "410-952-5139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W MAIN ST STE O",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "804435513",
            "telephone_number": "970-200-8563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Fiedler Ave",
            "address_purpose": "LOCATION",
            "city": "Dillon",
            "state": "CO",
            "postal_code": "804356930",
            "country_code": "US",
            "telephone_number": "970-200-8563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONOHOE",
        "first_name": "CASEY",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "LSW.0009923215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, CO

Sources for this page

Verify at the official NPI Registry.