Individual provider Active NPI

Emily Mackay King, LCSW

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1639624554
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09926658 Issued in CO
Practice address
1355 S Colorado Blvd
Suite 100
Denver, CO 80222-3305
Phone
(303) 756-9052
NPI assigned
Aug 20, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X CSW.09926658 CO Primary

Addresses

Primary practice location

1355 S Colorado Blvd
Suite 100
Denver, CO 80222-3305

Mailing address

1724 Vine St
Denver, CO 80206-1120
Phone (203) 807-1536

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mackem@communityreachcenter.org

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
I20201006000515 CO Practitioner - Clinical Social Worker 1456770783 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

720 S Colorado Blvd
PH North
Denver, CO 80246-1904
Phone (844) 843-7279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Juniper Network Counseling Current Accepting new patients
Community Reach Center, Inc CurrentSince Jun 8, 2020 Accepting new patients
Community Reach Center, Inc CurrentSince Jun 8, 2020 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Nov 1, 2024 Accepting new patients

Locations

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

8931 Huron St
Thornton, CO 80260
Phone (303) 853-3433

8989 Huron St
Thornton, CO 80260
Phone (303) 853-3511

Organizations & group practices 4

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": "1471651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1639624554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 VINE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802061120",
            "telephone_number": "203-807-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 S COLORADO BLVD",
            "address_2": "SUITE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223305",
            "telephone_number": "303-756-9052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "EMILY",
        "middle_name": "MACKAY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-20",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09926658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mackem@communityreachcenter.org",
            "affiliation": "N",
            "address_1": "8989 Huron St",
            "city": "Thornton",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802606858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.