Individual provider Active NPI

Janet Bychek, M.S.W.

  • Clinical Social Worker
  • Boulder, CO
National Provider Identifier
1710070297
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
991035 Issued in CO
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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 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

IdentifierTypeStateIssuer
47503840MedicaidCO

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
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

LicenseStateTypeSpecialty
991035COMDClinical 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

Verify at the official NPI Registry.