Susan Forde-Bunch PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW 985058 Issued in CO

Legal business name

SUSAN FORDE-BUNCH PC

Practice address

5460 Ward Rd
Suite 210
Arvada, CO 80002-1825

Phone

(303) 431-5641

Fax

(303) 467-1145

NPI assigned

Jul 2, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Susan Forde-Bunch, LCSWNPI 1508910043

Title

Owner

Phone

(303) 431-5641

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 4

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

• Susan Forde-Bunch, LCSW

  • Clinical Social Worker
  • Arvada, CO
  • NPI 1508910043
  Medicare reassignment Authorized official
• Clare Comstock, MSW

  • Clinical Social Worker
  • Arvada, CO
  • NPI 1144438235
  NPD (past)
• Elizabeth Ann Hall, PH.D.AND MSW

  • Clinical Social Worker
  • Arvada, CO
  • NPI 1114073384
  NPD (past)
• Kathryn Montgomery, MA,LPC,NCC,CHT,BCC

  • Professional Counselor
  • Denver, CO
  • NPI 1730374018
  NPD (past)

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1801025507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5460 WARD RD",
            "address_2": "SUITE 210",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800021825",
            "telephone_number": "303-431-5641",
            "fax_number": "303-467-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 WARD RD",
            "address_2": "SUITE 210",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800021825",
            "telephone_number": "303-431-5641",
            "fax_number": "303-467-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN FORDE-BUNCH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "FORDE-BUNCH",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-431-5641",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "LCSW 985058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1508910043",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunrise ABA of Colorado,LLC
• Superior Surgical Assisting
• Support, LLC
• Surgical Assistants, Inc
• Marilyn G Surratt, RN
• Katharine Hammaker Suslik, DDS
• Paige Sutula, MA, MFTC
• Amy Svinarich, OTD, OTR
• Dawn M Swan, LPC
• Karryn Lepage Swanson

• Clinical Social Worker in Arvada, CO
• Providers in Arvada, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.