Relate Restore Repair, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RELATE RESTORE REPAIR, LLC

Practice address

7435 E Peakview Ave
Centennial, CO 80111-6703

Phone

(720) 443-3854

NPI assigned

Jul 30, 2018

Organization subpart

No

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

Authorized official

Name

Stacey Macglashan, LCSWNPI 1801381520

Title

Co-Owner

Phone

(720) 443-3854

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacey Macglashan, LCSW

  • Clinical Social Worker
  • Centennial, CO
  • NPI 1801381520
  NPD Authorized official
• Ryan Knuth, LCSW

  • Clinical Social Worker
  • Centennial, CO
  • NPI 1619463015
  NPD

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1720566029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7435 E PEAKVIEW AVE",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801116703",
            "telephone_number": "720-443-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7435 E PEAKVIEW AVE",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801116703",
            "telephone_number": "720-443-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELATE RESTORE REPAIR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-30",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "MACGLASHAN",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "720-443-3854",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000163305",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Centennial, CO
• Providers in Centennial, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.