Organization Active NPI

Rosamond Therapeutic Services

  • Clinical Social Worker
  • Canon City, CO
National Provider Identifier
1790286706
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09923837 Issued in CO
Legal business name
ROSAMOND THERAPEUTIC SERVICES
Practice address
831 Royal Gorge Blvd Ste 226
Canon City, CO 81212-6709
Phone
(303) 801-8366
Fax
(719) 452-3702
NPI assigned
Feb 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Ida Seiferd, LCSWNPI 1255672614
Title
Owner
Phone
(303) 801-8366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X CSW.09923837 CO Primary

Addresses

Primary practice location

831 Royal Gorge Blvd Ste 226
Canon City, CO 81212-6709

Mailing address

831 Royal Gorge Blvd Ste 226
Canon City, CO 81212-6709
Phone (303) 801-8366

Other practice location 1

1745 Mariposa Rd
Canon City, CO 81212-7601
Phone (303) 801-8366

Other identifiers 1

IdentifierTypeStateIssuer
233371218MedicaidCO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1790286706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 ROYAL GORGE BLVD STE 226",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812126709",
            "telephone_number": "303-801-8366",
            "fax_number": "719-452-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 ROYAL GORGE BLVD STE 226",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812126709",
            "telephone_number": "303-801-8366",
            "fax_number": "719-452-3702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1745 Mariposa Rd",
            "address_purpose": "LOCATION",
            "city": "Canon City",
            "state": "CO",
            "postal_code": "812127601",
            "country_code": "US",
            "telephone_number": "303-801-8366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROSAMOND THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-25",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "SEIFERD",
        "authorized_official_first_name": "IDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-801-8366",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09923837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "233371218",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canon City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.