Active NPI
Amy Maryam Navvab, LSCW
- Social Worker
- Denver, CO
National Provider Identifier
1609449529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- CSW.09927410
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 323003 | CO | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychology Associates of Grand Rapids PC | Current | Accepting new patients | |
| Psychology Associates of Grand Rapids PC | Clinical | Current | 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.
-
- Psychologist
- Grand Rapids, MI
- NPI 1205017738
-
- Clinical Social Worker
- Grand Rapids, MI
- NPI 1073747648
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.