Individual provider Active NPI

Taegan L Dolphin, LCSW

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1699384677
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09926737 Issued in CO
Practice address
2000 S Colorado Blvd
Tower 1, Suite 2000-4
Denver, CO 80222-7900
Phone
(303) 884-9682
Fax
(303) 474-6521
NPI assigned
Jul 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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 09926737 CO Primary

Addresses

Primary practice location

2000 S Colorado Blvd
Tower 1, Suite 2000-4
Denver, CO 80222-7900

Mailing address

10952 Emerald LN
Conifer, CO 80433-7615
Phone (302) 300-5028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200827003220 CO Practitioner - Clinical Social Worker 8022435650 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09926737COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elevation Gain Counseling Services LLC Clinical CurrentSince Jul 1, 2022 Accepting new patients

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": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1699384677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10952 EMERALD LN",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804337615",
            "telephone_number": "302-300-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S COLORADO BLVD",
            "address_2": "TOWER 1, SUITE 2000-4",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802227900",
            "telephone_number": "303-884-9682",
            "fax_number": "303-474-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLPHIN",
        "first_name": "TAEGAN",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09926737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.