Individual provider Active NPI

Solangel Romero-Badillo, LCSW

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1629744172
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09929644 Issued in CO
Practice address
4360 Montebello Dr Ste 400
Colorado Springs, CO 80918-7224
Phone
(201) 270-6290
NPI assigned
Aug 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X LSW.0009923606 CO
Clinical Social Worker 1041C0700X CSW.09929644 CO Primary

Addresses

Primary practice location

4360 Montebello Dr Ste 400
Colorado Springs, CO 80918-7224

Mailing address

1675 Lenmar Dr Apt N303
Colorado Springs, CO 80905-6328
Phone (201) 270-6290

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
I20231108002940 CO Practitioner - Clinical Social Worker 1557718897 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSW.0009923606COMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Whole Recovery, PC Single Specialty Current Accepting new patients
Achieve Whole Recovery, PC CurrentSince Oct 26, 2023 Accepting new patients
Calm Your Soul Counseling Services, LLC Clinical Current Accepting new patients

Locations

4360 Montebello Dr
Ste 400
Colorado Springs, CO 80918
Phone (719) 593-9228

1115 Elkton Dr
Ste 300
Colorado Springs, CO 80907
Phone (719) 357-6471

8380 Zuni St
Ste 305
Westminster, CO 80221
Phone (719) 357-6471

Organizations & group practices 3

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": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1629744172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 LENMAR DR APT N303",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809056328",
            "telephone_number": "201-270-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4360 MONTEBELLO DR STE 400",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809187224",
            "telephone_number": "201-270-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO-BADILLO",
        "first_name": "SOLANGEL",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "CO",
            "license": "LSW.0009923606",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09929644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.