Active NPI
Julie Ann Richardson, LCSW
- Clinical Social Worker
- Gunnison, CO
National Provider Identifier
1740514447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 992776
- Practice address
- 114 N Boulevard St
#208
Gunnison, CO 81230-3000 - Phone
- (970) 641-5160
- Fax
- (970) 641-5160
- NPI assigned
- Sep 28, 2009
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 992776 | CO | |
| Social Worker | 104100000X | 19481 | MN | |
| Clinical Social Worker | 1041C0700X | 992776 | CO | Primary |
| Clinical Social Worker | 1041C0700X | 19481 | MN |
Addresses
Primary practice location
114 N Boulevard St
#208
Gunnison, CO 81230-3000
Mailing address
104 Wildrose LN
Gunnison, CO 81230-3482
Phone (970) 901-1435
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 992776 | CO | MD | Social Worker |
| 19481 | MN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients |
Locations
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
1750 E Ken Pratt Blvd
Longmont, CO 80504
Phone (720) 718-7000
2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Loveland, CO
- NPI 1225356868
-
- General Practice Physician
- Loveland, CO
- NPI 1366763260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279584000000",
"number": "1740514447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 WILDROSE LN",
"city": "GUNNISON",
"state": "CO",
"postal_code": "812303482",
"telephone_number": "970-901-1435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 N BOULEVARD ST",
"address_2": "#208",
"city": "GUNNISON",
"state": "CO",
"postal_code": "812303000",
"telephone_number": "970-641-5160",
"fax_number": "970-641-5160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "JULIE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-28",
"last_updated": "2010-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CO",
"license": "992776",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "19481",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "992776",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "19481",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gunnison, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.