Active NPI
Adam Garcia Walterbach
- Clinical Social Worker
- Denver, CO
National Provider Identifier
1639547284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 50 S Steele St Ste 950
Denver, CO 80209 - Phone
- (714) 749-6356
- NPI assigned
- Sep 11, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ASW71664 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
50 S Steele St Ste 950
Denver, CO 80209
Mailing address
50 S Steele St Ste 950
Denver, CO 80209-2843
Phone (719) 749-6356
Other practice location 1
50 S Steele St Ste 950
Denver, CO 80209
Phone (714) 749-6356
Other practice location 2
50 S Steele St Ste 950
Denver, CO 80209
Phone (714) 749-6356
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW71664 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574380800000",
"number": "1639547284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 S STEELE ST STE 950",
"city": "DENVER",
"state": "CO",
"postal_code": "802092843",
"telephone_number": "719-749-6356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 S STEELE ST STE 950",
"city": "DENVER",
"state": "CO",
"postal_code": "80209",
"telephone_number": "714-749-6356"
}
],
"practiceLocations": [
{
"address_1": "50 S Steele St Ste 950",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "80209",
"country_code": "US",
"telephone_number": "714-749-6356",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "50 S Steele St Ste 950",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "80209",
"country_code": "US",
"telephone_number": "714-749-6356",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARCIA WALTERBACH",
"first_name": "ADAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-11",
"last_updated": "2019-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW71664",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"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 Nov 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.