Active NPI
Julie Anderson, LCSW
- Clinical Social Worker
- Pueblo, CO
National Provider Identifier
1679709000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1301 E 7TH St
Pueblo, CO 81001-3508 - Phone
- (719) 543-8711
- Fax
- (719) 543-0171
- NPI assigned
- May 29, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
1301 E 7TH St
Pueblo, CO 81001-3508
Mailing address
110 E Routt Ave
Pueblo, CO 81004-2117
Phone (719) 543-8711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pueblo Community Health Center Inc | Current | Accepting new patients | |
| Pueblo Community Health Center Inc | Current | Accepting new patients |
Locations
110 E Routt Ave
Pueblo, CO 81004
Phone (719) 543-8718
1301 E 7th St
Pueblo, CO 81001
Phone (719) 250-6314
300 Colorado Ave
Pueblo, CO 81004
Phone (719) 543-8718
Interoperability endpoints
- julie.anderson.p1@direct.pueblochc.nextgenshare.com
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.
-
- Federally Qualified Health Center (FQHC)
- Pueblo, CO
- NPI 1770529950
-
- Federally Qualified Health Center (FQHC)
- Pueblo, CO
- NPI 1952071219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674777600000",
"number": "1679709000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 E ROUTT AVE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810042117",
"telephone_number": "719-543-8711",
"fax_number": "719-585-3057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 E 7TH ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810013508",
"telephone_number": "719-543-8711",
"fax_number": "719-543-0171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "JULIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-29",
"last_updated": "2023-01-27",
"certification_date": "2023-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.