Susan Umberger Nimmanheminda, PHD, LCSW, CAS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

000989305 Issued in CO

Practice address

2305 Canyon Blvd Ste 205
Boulder, CO 80302-5655

Phone

(720) 909-6413

NPI assigned

Aug 29, 2022

Last updated

Aug 29, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1649990920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 CANYON BLVD STE 205",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025655",
            "telephone_number": "720-909-6413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 CANYON BLVD STE 205",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025655",
            "telephone_number": "720-909-6413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIMMANHEMINDA",
        "first_name": "SUSAN",
        "middle_name": "UMBERGER",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW, CAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "00989305",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "000989305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Paul Nienhouse, FNP
• Jamie Niesen, M.A.
• Nikander and Company, Inc
• Nikander LLC
• Alenna Louise Nilsen, MA OF TEACHING
• Alex Nimmer
• Nina Minagawa Psychological Services
• Abigail Elizabeth Nipp
• Daniel Nishina
• Amy Nitchman

• Clinical Social Worker in Boulder, CO
• Providers in Boulder, 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 Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.