Barbara Mutagamba

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.09926714 Issued in CO

Practice address

2034 Wildwood St
Lochbuie, CO 80603-5944

Phone

(720) 628-9185

NPI assigned

Jun 17, 2020

Last updated

Jun 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, CO

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1639795586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 WILDWOOD ST",
            "city": "LOCHBUIE",
            "state": "CO",
            "postal_code": "806035944",
            "telephone_number": "720-628-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 WILDWOOD ST",
            "city": "LOCHBUIE",
            "state": "CO",
            "postal_code": "806035944",
            "telephone_number": "720-628-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTAGAMBA",
        "first_name": "BARBARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09926714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morghan Michelle Ferreira, LPCC
• Lisa Lyn Harris, APRN
• Amy C Helbok, PTA
• Nicole Lebron Leon
• Katelyn Martinez
• Cara Lou Putnam
• Marisela Sanchez
• Tammymarie Victoria Symonds
• Kelly Van Lew, RN
• Wonderland Way Counseling, LLC (Wonderland Way Counseling)

• Clinical Social Worker in Lochbuie, CO
• Providers in Lochbuie, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.