Individual provider Active NPI

Laura Bodmer, LMSW

  • Clinical Social Worker
  • Boulder, CO
National Provider Identifier
1649059171
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09932246 Issued in CO
Practice address
340 32ND St
Boulder, CO 80305-3413
Phone
(720) 681-1013
NPI assigned
Sep 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09932246 CO Primary

Addresses

Primary practice location

340 32ND St
Boulder, CO 80305-3413

Mailing address

340 32ND St
Boulder, CO 80305-3413
Phone (720) 681-1013

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
I20260326002142 CO Practitioner - Clinical Social Worker 2264917343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindful Therapy Group of Colorado, PCGroup PAC ID 3870036478, 32 clinicians

Practice addresses (Care Compare)

1790 38TH St
Suite 104
Boulder, CO 80301-2600
Phone (720) 509-0795

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09932246COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tranquil Waters Therapy PLLC Clinical Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1649059171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 32ND ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803053413",
            "telephone_number": "720-681-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 32ND ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803053413",
            "telephone_number": "720-681-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODMER",
        "first_name": "LAURA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09932246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.