Organization Active NPI

Denise E Gendreau LCSW

  • Clinical Social Worker
  • Telluride, CO
National Provider Identifier
1689175960
Registry record updated Feb 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.00002102 Issued in CO
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

Updated by the provider on Feb 22, 2018

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.