Active NPI
Carolyn Anne Juarez, L.C.S.W.
- Clinical Social Worker
- Boulder, CO
National Provider Identifier
1699920439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 531
- Practice address
- 1036 University Ave
Boulder, CO 80302-6102 - Phone
- (303) 443-6154
- NPI assigned
- Nov 20, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 531 | CO | Primary |
Addresses
Primary practice location
1036 University Ave
Boulder, CO 80302-6102
Mailing address
1445 Milwaukee St
Denver, CO 80206-2507
Phone (303) 653-3434
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 531 | CO | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227139200000",
"number": "1699920439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1445 MILWAUKEE ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802062507",
"telephone_number": "303-653-3434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1036 UNIVERSITY AVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803026102",
"telephone_number": "303-443-6154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUAREZ",
"first_name": "CAROLYN",
"middle_name": "ANNE",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-20",
"last_updated": "2008-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.