Organization Active NPI

Child Community Services

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1780192989
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CHILD COMMUNITY SERVICES
Practice address
2210 E la Salle St # 108
Colorado Springs, CO 80909-2303
Phone
(719) 440-6445
NPI assigned
Jan 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christine Talbott
Title
Executive Director
Phone
(719) 440-6445

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X CO

Addresses

Primary practice location

2210 E la Salle St # 108
Colorado Springs, CO 80909-2303

Mailing address

2210 E la Salle St Ste 108
Colorado Springs, CO 80909-2303
Phone (719) 440-6445

Other practice location 1

5335 Gentle Wind Rd
Colorado Springs, CO 80922-2356
Phone (719) 425-9133

Other identifiers 1

IdentifierTypeStateIssuer
9000163300MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL childcommunityservices.org

National Provider Directory

National Provider Directory
Tax ID family
Child Community Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1780192989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 E LA SALLE ST STE 108",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092303",
            "telephone_number": "719-440-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 E LA SALLE ST # 108",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092303",
            "telephone_number": "719-440-6445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5335 Gentle Wind Rd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809222356",
            "country_code": "US",
            "telephone_number": "719-425-9133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHILD COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-22",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "TALBOTT",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "719-440-6445"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "CO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000163300",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "childcommunityservices.org",
            "affiliation": "N",
            "address_1": "2210 E La Salle St # 108",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809092303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 28, 2019; 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.