Individual provider Active NPI

Tammy Lorinda Brannen, L.C.S.W., CD

  • Clinical Social Worker
  • Loveland, CO
National Provider Identifier
1619178118
Registry record updated Mar 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
144 Issued in CO
Practice address
150 E 29TH St Ste 215
Loveland, CO 80538-2765
Phone
(970) 342-5440
NPI assigned
May 30, 2007
Last updated
Mar 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X 6319 CO
Clinical Social Worker 1041C0700X 144 CO Primary

Addresses

Primary practice location

150 E 29TH St Ste 215
Loveland, CO 80538-2765

Mailing address

1304 Loch Mount Dr
Loveland, CO 80537-4539
Phone (970) 342-5440

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
I20131107001153 CO Practitioner - Clinical Social Worker 1254566847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3780 N Garfield Ave
Suite 205
Loveland, CO 80538-2237
Phone (970) 342-5440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
144COMDAddiction (Substance Use Disorder) Counselor
6319COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Healing Center Clinical CurrentSince Oct 12, 2022 Accepting new patients
Grateful Way Clinical CurrentSince Mar 12, 2023 Accepting new patients

Locations

150 E 29th St
Ste 215
Loveland, CO 80538
Phone (970) 342-5440

8010 S County Road 5
Unit 103
Windsor, CO 80528
Phone (970) 342-5440

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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677974400000",
    "number": "1619178118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 LOCH MOUNT DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805374539",
            "telephone_number": "970-342-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E 29TH ST STE 215",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805382765",
            "telephone_number": "970-342-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNEN",
        "first_name": "TAMMY",
        "middle_name": "LORINDA",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W., CD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2023-03-05",
        "certification_date": "2023-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "CO",
            "license": "6319",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.