Individual provider Active NPI

Amy Maryam Navvab, LSCW

  • Social Worker
  • Denver, CO
National Provider Identifier
1609449529
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
CSW.09927410 Issued in CO
Practice address
2737 W Bayaud Ave
Denver, CO 80219-2105
Phone
(734) 276-2132
NPI assigned
Jul 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 323003 CO
Social Worker 104100000X CSW.09927410 CO Primary

Addresses

Primary practice location

2737 W Bayaud Ave
Denver, CO 80219-2105

Mailing address

2737 W Bayaud Ave
Denver, CO 80219-2105
Phone (734) 276-2132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20250913000116 MI Practitioner - Clinical Social Worker 8921406216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychology Associates of Grand Rapids PCGroup PAC ID 6608826557, 18 clinicians

Practice addresses (Care Compare)

555 Midtowne St NE
Suite 304
Grand Rapids, MI 49503-5731
Phone (616) 458-4444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
323003COMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychology Associates of Grand Rapids PC CurrentSince Aug 1, 2025 Accepting new patients
Psychology Associates of Grand Rapids PC Clinical CurrentSince Aug 1, 2025 Accepting new patients

Locations

1000 Parchment Dr SE
Grand Rapids, MI 49546
Phone (616) 957-9112

555 Midtowne St NE
Ste 304
Grand Rapids, MI 49503
Phone (616) 458-4444

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1609449529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 W BAYAUD AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802192105",
            "telephone_number": "734-276-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 W BAYAUD AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802192105",
            "telephone_number": "734-276-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVVAB",
        "first_name": "AMY",
        "middle_name": "MARYAM",
        "credential": "LSCW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "CO",
            "license": "323003",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "CSW.09927410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.