Active NPI
Stephanie Small Inc Dba Las Lobas del Corazon
- Clinical Social Worker
- Boulder, CO
National Provider Identifier
1649876301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- STEPHANIE SMALL INC DBA LAS LOBAS DEL CORAZON
- Practice address
- 1650 38TH St Ste 100E
Boulder, CO 80301-2624 - Phone
- (720) 666-1159
- NPI assigned
- Dec 8, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Small
- Title
- Owner
- Phone
- (720) 666-1159
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1650 38TH St Ste 100E
Boulder, CO 80301-2624
Mailing address
942 Granite CT
Longmont, CO 80504-3917
Phone (720) 666-1159
Other names 1
- Stephanie Small Inc
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705363200000",
"number": "1649876301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "942 GRANITE CT",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805043917",
"telephone_number": "720-666-1159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 38TH ST STE 100E",
"city": "BOULDER",
"state": "CO",
"postal_code": "803012624",
"telephone_number": "720-666-1159"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHANIE SMALL INC DBA LAS LOBAS DEL CORAZON",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-08",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A",
"authorized_official_last_name": "SMALL",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "720-666-1159"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Stephanie Small Inc",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Stephanie Small Inc",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.