Individual provider Active NPI

Olivia Maria Perez -Amick, LCSW

  • Clinical Social Worker
  • Aurora, CO
National Provider Identifier
1649795840
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09926283 Issued in CO
Practice address
15132 E Hampden Ave Ste G
Aurora, CO 80014
Phone
(303) 360-6276
Fax
(303) 762-6547
NPI assigned
Aug 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X CSW.09926283 CO
Clinical Social Worker 1041C0700X CSW.09926283 CO Primary

Addresses

Primary practice location

15132 E Hampden Ave Ste G
Aurora, CO 80014

Mailing address

2255 S Oneida St
Denver, CO 80224-2522
Phone (303) 360-6276

Other practice location 1

8324 Skokie Blvd
Skokie, IL 60077-2545
Phone (847) 933-0051 ext. 480

Other practice location 2

777 Bannock St
Denver, CO 80204-4507
Phone (720) 424-0850

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
I20230125001780 CO Practitioner - Clinical Social Worker 5890125777 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09926283COMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Community Provider Network, Inc. CurrentSince Oct 13, 2022 Accepting new patients
Metro Community Provider Network Inc CurrentSince Oct 13, 2022 Accepting new patients
Denver Health and Hospital Authority CurrentSince Feb 1, 2024 Accepting new patients
Denver Health and Hospital Authority CurrentSince Feb 1, 2024 Accepting new patients

Locations

15132 E Hampden Ave
Ste G
Aurora, CO 80014
Phone (303) 762-6546

777 Bannock St
Denver, CO 80204

2255 S Oneida St
Denver, CO 80224

17866 Cottonwood Dr
Parker, CO 80134
Phone (303) 205-6899

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": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1649795840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 S ONEIDA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802242522",
            "telephone_number": "303-360-6276",
            "fax_number": "303-761-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15132 E HAMPDEN AVE STE G",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80014",
            "telephone_number": "303-360-6276",
            "fax_number": "303-762-6547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8324 Skokie Blvd",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600772545",
            "country_code": "US",
            "telephone_number": "847-933-0051 x480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "777 Bannock St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802044507",
            "country_code": "US",
            "telephone_number": "720-424-0850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ -AMICK",
        "first_name": "OLIVIA",
        "middle_name": "MARIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "CO",
            "license": "CSW.09926283",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09926283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.