Spark of Serenity, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SPARK OF SERENITY, LLC

Practice address

3400 Table Mesa Dr Ste 205
Boulder, CO 80305-5850

Phone

(720) 819-6226

NPI assigned

Nov 20, 2023

Organization subpart

No

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

Authorized official

Name

Anna Alford, MSW, LCSWNPI 1194477380

Title

Owner

Phone

(720) 819-6226

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anna Alford, MSW, LCSW

  • Clinical Social Worker
  • Boulder, CO
  • NPI 1194477380
  NPD Authorized official

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700697600000",
    "number": "1679348726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 SIMPSON DR",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800261053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 TABLE MESA DR STE 205",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803055850",
            "telephone_number": "720-819-6226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12157 W Cedar Dr",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802282100",
            "country_code": "US",
            "telephone_number": "720-819-6226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPARK OF SERENITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-23",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "ALFORD",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-819-6226",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Smith Sovndal
• Spacious Soul Counseling LLC
• Alyssa Marie Spampinato, NONE
• Rye Lynne Spanton, LPCC
• Carol Spar, PSY.D.
• Sparkwell Mental Health Services LLC
• Jordan Sparrow-Antonio, MS
• Martha Spaulding, P.T.
• Andrew D Spears, M.D.
• Donald Spears, ND, MSOM, LAC

• 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 Nov 23, 2023; 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.