Active NPI
Center for Ethical Social Work Practice
- Adolescent and Children Mental Health Clinic/Center
- Denver, CO
National Provider Identifier
1689033342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- License
- CSW 1534
- Legal business name
- CENTER FOR ETHICAL SOCIAL WORK PRACTICE
- Practice address
- 5353 W Dartmouth Ave Ste 203
Denver, CO 80227-5516 - Phone
- (720) 722-0527
- Fax
- (303) 586-1196
- NPI assigned
- Feb 23, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Bethany J Raab, MSW, LCSW
- Title
- Ceo
- Phone
- (720) 722-0527
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | CSW 1534 | CO | Primary |
Addresses
Primary practice location
5353 W Dartmouth Ave Ste 203
Denver, CO 80227-5516
Mailing address
5353 W Dartmouth Ave Ste 203
Denver, CO 80227-5517
Phone (720) 722-0527
Other names 1
- Petal & Peak Mental Health
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Denver, CO
- NPI 1093530172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705968000000",
"number": "1689033342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5353 W DARTMOUTH AVE STE 203",
"city": "DENVER",
"state": "CO",
"postal_code": "802275517",
"telephone_number": "720-722-0527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5353 W DARTMOUTH AVE STE 203",
"city": "DENVER",
"state": "CO",
"postal_code": "802275516",
"telephone_number": "720-722-0527",
"fax_number": "303-586-1196"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR ETHICAL SOCIAL WORK PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-23",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A",
"authorized_official_last_name": "RAAB",
"authorized_official_first_name": "BETHANY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "720-722-0527",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MSW, LCSW"
},
"taxonomies": [
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "CO",
"license": "CSW 1534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Petal & Peak Mental Health",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.