Active NPI
Denise E Gendreau LCSW
- Clinical Social Worker
- Telluride, CO
National Provider Identifier
1689175960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.00002102
- Legal business name
- DENISE E GENDREAU LCSW
- Practice address
- 100 West Colorado Avenue
Suite 227
Telluride, CO 81435-8143 - Phone
- (970) 316-1994
- NPI assigned
- Feb 22, 2018
- 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
- Lori Bowman
- Title
- Billing/Credentialing
- Phone
- (970) 231-1294
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW.00002102 | CO | Primary |
Addresses
Primary practice location
100 West Colorado Avenue
Suite 227
Telluride, CO 81435-8143
Mailing address
5455 County Road 23
Ridgway, CO 81432-9545
Phone (970) 316-1994
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.
-
- Clinical Social Worker
- Telluride, CO
- NPI 1437425048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519257600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519257600000",
"number": "1689175960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5455 COUNTY ROAD 23",
"city": "RIDGWAY",
"state": "CO",
"postal_code": "814329545",
"telephone_number": "970-316-1994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WEST COLORADO AVENUE",
"address_2": "SUITE 227",
"city": "TELLURIDE",
"state": "CO",
"postal_code": "814358143",
"telephone_number": "970-316-1994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENISE E GENDREAU LCSW",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-22",
"last_updated": "2018-02-22",
"status": "A",
"authorized_official_last_name": "BOWMAN",
"authorized_official_first_name": "LORI",
"authorized_official_title_or_position": "BILLING/CREDENTIALING",
"authorized_official_telephone_number": "970-231-1294"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.00002102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Telluride, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.