Meredith Fort Dubose, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11567 Issued in LA

Practice address

6200 S Syracuse Way Ste 260
Greenwood Village, CO 80111-4739

Phone

(817) 233-8590

NPI assigned

Apr 4, 2012

Last updated

Oct 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Meredith Andrea Fort Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1689930588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7833 S MAGNOLIA WAY",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801122546",
            "telephone_number": "817-233-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 S SYRACUSE WAY STE 260",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114739",
            "telephone_number": "817-233-8590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8710 Oak St Unit 11",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701181224",
            "country_code": "US",
            "telephone_number": "817-233-8590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUBOSE",
        "first_name": "MEREDITH",
        "middle_name": "FORT",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-04",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "11567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEREDITH",
            "last_name": "FORT",
            "middle_name": "ANDREA",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Maggie Duffy
• Susana Dugas, MA, CCC-SLP

• Clinical Social Worker in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.