Individual provider Active NPI

Carleigh Bernard

  • Clinical Social Worker
  • Arvada, CO
National Provider Identifier
1720826571
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09930668 Issued in CO
Practice address
5460 Ward Rd Ste 150
Arvada, CO 80002-1828
Phone
(720) 828-2710
NPI assigned
Jul 16, 2024
Last updated
Jul 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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 CSW.09930668 CO Primary

Addresses

Primary practice location

5460 Ward Rd Ste 150
Arvada, CO 80002-1828

Mailing address

5460 Ward Rd Ste 150
Arvada, CO 80002-1828
Phone (303) 829-0291

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
I20241205003738 CO Practitioner - Clinical Social Worker 8820524432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Channel TherapyGroup PAC ID 0941653364, 2 clinicians

Practice addresses (Care Compare)

5460 Ward Rd
Suite 150
Arvada, CO 80002-1828
Phone (720) 295-7548

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09930668COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Channel Therapy Clinical CurrentSince Dec 2, 2024 Accepting new patients
Carleigh Joan Counseling PLLC Clinical Current Accepting new patients
Blue Channel Therapy Clinical PastSince Jun 26, 2022 Accepting new patients

Locations

5460 Ward Rd
Ste 150
Arvada, CO 80002
Phone (720) 295-7548

8781 Sheridan Blvd
Westminster, CO 80003
Phone (719) 789-7704

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1720826571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5460 WARD RD STE 150",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800021828",
            "telephone_number": "303-829-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 WARD RD STE 150",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800021828",
            "telephone_number": "720-828-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "CARLEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09930668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.