Active NPI
Joli Nicol Pate, LCSW
- Clinical Social Worker
- Boulder, CO
National Provider Identifier
1730276452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SWB-2025-0243
- Practice address
- 703 Walnut St
Boulder, CO 80302-5032 - Phone
- (505) 819-8846
- NPI assigned
- Oct 5, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1175 | CO | |
| Clinical Social Worker | 1041C0700X | I-05236 | NM | |
| Clinical Social Worker | 1041C0700X | SWB-2025-0243 | NM | Primary |
Addresses
Primary practice location
703 Walnut St
Boulder, CO 80302-5032
Mailing address
900 Crescent Dr
Boulder, CO 80303-2717
Phone (505) 819-8846
Other names 1
- Joli Nicol Pate
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1175 | CO | MD | Clinical Social Worker |
| I-05236 | NM | MD | Clinical Social Worker |
| SWB-2025-0243 | NM | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763337600000",
"number": "1730276452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 CRESCENT DR",
"city": "BOULDER",
"state": "CO",
"postal_code": "803032717",
"telephone_number": "505-819-8846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 WALNUT ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803025032",
"telephone_number": "505-819-8846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATE",
"first_name": "JOLI",
"middle_name": "NICOL",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "1175",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "I-05236",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "SWB-2025-0243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOLI",
"last_name": "PATE",
"middle_name": "NICOL",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
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 Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.