Active NPI
Kayla Maria Sargent, LSW
- Clinical Social Worker
- Greeley, CO
National Provider Identifier
1669943353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LSW.0009922257
- Practice address
- 1300 N 17TH Ave
Greeley, CO 80631-9584 - Phone
- (970) 347-2120
- NPI assigned
- Dec 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LSW.0009922257 | CO | Primary |
Addresses
Primary practice location
1300 N 17TH Ave
Greeley, CO 80631-9584
Mailing address
1300 N 17TH Ave
Greeley, CO 80631-9584
Phone (970) 347-2120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW.0009922257 | CO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Larimer County | Past | Accepting new patients | |
| Larimer County | 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.
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- Fort Collins, CO
- NPI 1184499675
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- Substance Abuse Rehabilitation Facility
- Fort Collins, CO
- NPI 1548451339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544054400000",
"number": "1669943353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 N 17TH AVE",
"city": "GREELEY",
"state": "CO",
"postal_code": "806319584",
"telephone_number": "970-347-2120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 N 17TH AVE",
"city": "GREELEY",
"state": "CO",
"postal_code": "806319584",
"telephone_number": "970-347-2120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARGENT",
"first_name": "KAYLA",
"middle_name": "MARIA",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-06",
"last_updated": "2018-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "LSW.0009922257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.