Exubero, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW09924529 Issued in CO

Legal business name

EXUBERO, LLC

Practice address

2903 Aspen Dr
Loveland, CO 80538-2577

Phone

(970) 593-8196

NPI assigned

Mar 22, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amy J Hallagan, LCSWNPI 1407258288

Title

Owner

Phone

(970) 593-8196

Specialties & licenses 1

Addresses

Other names 1

• Be Big, Llc Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Hallagan, MSW

  • Clinical Social Worker
  • Loveland, CO
  • NPI 1407258288
  NPD (past) Authorized official

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1609307669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 ASPEN DR",
            "address_2": "UNIT F",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805382577",
            "telephone_number": "970-593-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2903 ASPEN DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805382577",
            "telephone_number": "970-593-8196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXUBERO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-22",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "HALLAGAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-593-8196",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW09924529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Be Big, Llc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Clinical Social Worker in Loveland, CO
• Providers in Loveland, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.