Active NPI
Susan Garrett, LCSW LLC
- Clinical Social Worker
- Aurora, CO
National Provider Identifier
1760920573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 993024
- Legal business name
- SUSAN GARRETT, LCSW LLC
- Practice address
- 2101 S Blackhawk St
Suite 240
Aurora, CO 80014-1492 - Phone
- (720) 449-6764
- NPI assigned
- Feb 1, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Wiberg Garrett, L.C.S.W
- Title
- Psychotherapist
- Phone
- (720) 449-6764
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 993024 | CO | Primary |
Addresses
Primary practice location
2101 S Blackhawk St
Suite 240
Aurora, CO 80014-1492
Mailing address
2101 S Blackhawk St
Suite 240
Aurora, CO 80014-1492
Phone (720) 449-6764
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62575023 | Medicaid | CO |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485907200000",
"number": "1760920573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 S BLACKHAWK ST",
"address_2": "SUITE 240",
"city": "AURORA",
"state": "CO",
"postal_code": "800141492",
"telephone_number": "720-449-6764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 S BLACKHAWK ST",
"address_2": "SUITE 240",
"city": "AURORA",
"state": "CO",
"postal_code": "800141492",
"telephone_number": "720-449-6764"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSAN GARRETT, LCSW LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-01",
"last_updated": "2017-02-01",
"status": "A",
"authorized_official_last_name": "GARRETT",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "WIBERG",
"authorized_official_title_or_position": "PSYCHOTHERAPIST",
"authorized_official_telephone_number": "720-449-6764",
"authorized_official_credential": "L.C.S.W"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "993024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "62575023",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.