Individual provider Active NPI

Bethany Reardon

  • Social Worker
  • Denver, CO
National Provider Identifier
1689407272
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
0009925456 Issued in CO
Practice address
400 S Colorado Blvd Ste 530
Denver, CO 80246-1255
Phone
(720) 262-2644
NPI assigned
Aug 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 0009925456 CO Primary

Addresses

Primary practice location

400 S Colorado Blvd Ste 530
Denver, CO 80246-1255

Mailing address

400 S Colorado Blvd Ste 530
Denver, CO 80246-1255
Phone (720) 262-2644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0009925456COMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Collective Co LLC Social Worker CurrentSince Aug 25, 2024 Accepting new patients

Locations

3401 Quebec St
Ste 8000
Denver, CO 80207
Phone (720) 316-0335

400 S Colorado Blvd
Ste 530
Glendale, CO 80246
Phone (720) 316-0265

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1689407272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S COLORADO BLVD STE 530",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461255",
            "telephone_number": "720-262-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S COLORADO BLVD STE 530",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461255",
            "telephone_number": "720-262-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REARDON",
        "first_name": "BETHANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "0009925456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.

Verify at the official NPI Registry.