Active NPI
Joy C Braunlich, L.C.S.W.
- Clinical Social Worker
- Colorado Springs, CO
National Provider Identifier
1750336293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2048
- Practice address
- 5245 Centennial Blvd
200
Colorado Springs, CO 80919 - Phone
- (719) 338-9404
- NPI assigned
- May 23, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C004982 | NC | |
| Clinical Social Worker | 1041C0700X | 2048 | CO | Primary |
Addresses
Primary practice location
5245 Centennial Blvd
200
Colorado Springs, CO 80919
Mailing address
5001 Centennial Blvd Unit 50304
Colorado Springs, CO 80949-0150
Phone (719) 338-7102
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11572140 | Other | CO | CAQH |
| CSW.00002048 | Other | CO | PROFESSIONAL LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2048 | CO | MD | Clinical Psychologist |
| C004982 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1750336293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5001 CENTENNIAL BLVD UNIT 50304",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809490150",
"telephone_number": "719-338-7102",
"fax_number": "866-780-3596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5245 CENTENNIAL BLVD",
"address_2": "200",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80919",
"telephone_number": "719-338-9404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAUNLICH",
"first_name": "JOY",
"middle_name": "C",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-23",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C004982",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "2048",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11572140",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL LICENSE",
"identifier": "CSW.00002048",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.