Individual provider Active NPI

Elizabeth Ann Taeubert, LCSW

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1700964731
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
992909 Issued in CO
Practice address
360 S Monroe St
Denver, CO 80209-3705
Phone
(720) 949-1194
Fax
(720) 519-0315
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 992909 CO Primary
Clinical Social Worker 1041C0700X IL

Addresses

Primary practice location

360 S Monroe St
Denver, CO 80209-3705

Mailing address

2918 Florence St
Denver, CO 80238-2969
Phone (720) 949-1194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2022 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
992909COMDClinical Social Worker
149008296ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700964731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2918 FLORENCE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802382969",
            "telephone_number": "720-949-1194",
            "fax_number": "720-519-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 S MONROE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093705",
            "telephone_number": "720-949-1194",
            "fax_number": "720-519-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAEUBERT",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "992909",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.