Individual provider Active NPI

Juliana Kagan, LSW

  • Clinical Social Worker
  • Frisco, CO
National Provider Identifier
1689317927
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09929590 Issued in CO
Practice address
360 Peak One Dr Ste 100
Frisco, CO 80443-5948
Phone
(970) 668-4040
NPI assigned
Apr 14, 2022
Last updated
Nov 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09929590 CO Primary

Addresses

Primary practice location

360 Peak One Dr Ste 100
Frisco, CO 80443-5948

Mailing address

360 Peak One Dr Ste 100
Frisco, CO 80443-5948
Phone (970) 668-4040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Community Care Clinic, Inc. CurrentSince Oct 8, 2023 Accepting new patients
Summit Community Care Clinic, Inc. CurrentSince Oct 8, 2023 Accepting new patients

Locations

360 Peak One Dr
Ste 100
Frisco, CO 80443
Phone (970) 452-8458

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1689317927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 PEAK ONE DR STE 100",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "804435948",
            "telephone_number": "970-668-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 PEAK ONE DR STE 100",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "804435948",
            "telephone_number": "970-668-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAGAN",
        "first_name": "JULIANA",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-14",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09929590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, CO

Sources for this page

Verify at the official NPI Registry.