Active NPI
Erin Buretz, LICSW
- Clinical Social Worker
- Denver, CO
National Provider Identifier
1730748294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 122435
- Practice address
- 801 S Pennsylvania St
Denver, CO 80209-4136 - Phone
- (631) 291-2315
- NPI assigned
- Jun 10, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | 222990 | MA | |
| Clinical Social Worker | 1041C0700X | 122435 | MA | Primary |
Addresses
Primary practice location
801 S Pennsylvania St
Denver, CO 80209-4136
Mailing address
801 S Pennsylvania St
Denver, CO 80209-4136
Phone (631) 291-2315
Other practice location 1
23 Isaac St
Middleboro, MA 02346-2080
Phone (774) 419-1059
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 222990 | Other | MA | NASW |
| CSW.09927142 | Other | CO | NASW |
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 |
|---|---|---|---|
| 122435 | MA | MD | Clinical Social Worker |
| 222990 | MA | MD | Adolescent and Children Mental Health Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674604800000",
"number": "1730748294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 S PENNSYLVANIA ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802094136",
"telephone_number": "631-291-2315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 S PENNSYLVANIA ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802094136",
"telephone_number": "631-291-2315"
}
],
"practiceLocations": [
{
"address_1": "23 Isaac St",
"address_purpose": "LOCATION",
"city": "Middleboro",
"state": "MA",
"postal_code": "023462080",
"country_code": "US",
"telephone_number": "774-419-1059",
"fax_number": "774-419-1104",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURETZ",
"first_name": "ERIN",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-10",
"last_updated": "2023-01-25",
"certification_date": "2023-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "MA",
"license": "222990",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "122435",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NASW",
"identifier": "222990",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NASW",
"identifier": "CSW.09927142",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.