Active NPI
Samara L Lyon-Frick, MSW, SWC
- Student in an Organized Health Care Education/Training Program
- Denver, CO
National Provider Identifier
1740075001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- SWC.0000002314
- Practice address
- 4455 E 12TH Ave
Denver, CO 80220-2415 - Phone
- (303) 504-1886
- Fax
- (650) 223-4580
- NPI assigned
- Apr 9, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | SWC.0000002314 | CO | Primary |
Addresses
Primary practice location
4455 E 12TH Ave
Denver, CO 80220-2415
Mailing address
9317 Eagle River St
Littleton, CO 80125-8004
Phone (650) 223-4580
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 |
|---|---|---|---|
| SWC.0000002314 | CO | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744156800000",
"number": "1740075001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9317 EAGLE RIVER ST",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801258004",
"telephone_number": "650-223-4580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4455 E 12TH AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802202415",
"telephone_number": "303-504-1886",
"fax_number": "650-223-4580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYON-FRICK",
"first_name": "SAMARA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "MSW, SWC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-09",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CO",
"license": "SWC.0000002314",
"primary": true
}
],
"identifiers": [],
"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 Apr 9, 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.