Desiree Rachele Gholson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.09925502 Issued in CO

Practice address

1120 Wellington Ave
Grand Junction, CO 81501-6129

Phone

(970) 241-6011

Fax

(970) 241-4650

NPI assigned

Jun 9, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Desiree Rachele Davey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as group

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Colorado West Regional Mental Health, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Grand Junction, CO
  • NPI 1912563693
  NPD (past)

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1669821682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10700",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815025517",
            "telephone_number": "970-254-2642",
            "fax_number": "970-254-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 WELLINGTON AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815016129",
            "telephone_number": "970-241-6011",
            "fax_number": "970-241-4650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "281 N Plum St",
            "address_purpose": "LOCATION",
            "city": "Fruita",
            "state": "CO",
            "postal_code": "81521",
            "country_code": "US",
            "telephone_number": "970-858-9894",
            "fax_number": "970-858-1331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHOLSON",
        "first_name": "DESIREE",
        "middle_name": "RACHELE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09925502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESIREE",
            "last_name": "DAVEY",
            "middle_name": "RACHELE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julian Robert Gershon Jr., D.O.
• Mitchell Gershten, M.D.
• Eric Allan Gerson, M.D.
• Jesse L Getz, M.S., ATC
• Arava Geva, LCSW
• Gina Diane Giannangelo
• Rebecca Lynn Gibb
• Sara Gibb, MS, CCC-SLP
• Pamela Scott Gibbons, PT
• Erin Quinn Gibson

• Clinical Social Worker in Grand Junction, CO
• Providers in Grand Junction, 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 Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.