Organization Active NPI

Susan Garrett, LCSW LLC

  • Clinical Social Worker
  • Aurora, CO
National Provider Identifier
1760920573
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
993024 Issued in CO
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

Updated by the provider on Feb 1, 2017

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
62575023MedicaidCO

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.