Active NPI
Janet Bychek, M.S.W.
- Clinical Social Worker
- Boulder, CO
National Provider Identifier
1710070297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 991035
- Practice address
- 4548 Starboard Dr
Boulder, CO 80301-3126 - Phone
- (720) 771-6401
- Fax
- (719) 452-3488
- NPI assigned
- Oct 2, 2006
- Last updated
- Dec 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 991035 | CO | Primary |
Addresses
Primary practice location
4548 Starboard Dr
Boulder, CO 80301-3126
Mailing address
4548 Starboard Dr
Boulder, CO 80301-3126
Phone (720) 771-6401
Other practice location 1
1720 Grape Avenue
Boulder, CO 80304-2203
Phone (303) 939-8618
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47503840 | Medicaid | CO |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071112000621 | CO | Practitioner - Clinical Social Worker | 8426146226 | Practice locations: Boulder, CO |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- University of Connecticut School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1720 Grape Ave
Boulder, CO 80304-2203
Phone (720) 771-6401
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 991035 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639612800000",
"number": "1710070297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4548 STARBOARD DR",
"city": "BOULDER",
"state": "CO",
"postal_code": "803013126",
"telephone_number": "720-771-6401",
"fax_number": "719-452-3488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4548 STARBOARD DR",
"city": "BOULDER",
"state": "CO",
"postal_code": "803013126",
"telephone_number": "720-771-6401",
"fax_number": "719-452-3488"
}
],
"practiceLocations": [
{
"address_1": "1720 Grape Avenue",
"address_purpose": "LOCATION",
"city": "Boulder",
"state": "CO",
"postal_code": "803042203",
"country_code": "US",
"telephone_number": "303-939-8618",
"fax_number": "720-306-4410",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BYCHEK",
"first_name": "JANET",
"credential": "M.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2021-12-16",
"certification_date": "2021-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "991035",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47503840",
"state": "CO"
}
],
"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 Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.