Active NPI
Mauricio Yabar, MSW, M.ED.
- Clinical Social Worker
- Aurora, CO
National Provider Identifier
1801207311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.09923642
- Practice address
- 1646 Elmira Street
Aurora, CO 80010 - Phone
- (303) 617-2300
- Fax
- (303) 617-2365
- NPI assigned
- May 19, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | CSW.09923642 | CO | Primary |
Addresses
Primary practice location
1646 Elmira Street
Aurora, CO 80010
Mailing address
11059 E. Bethany Drive
Aurora, CO 80014
Phone (303) 617-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12730219 | Other | CO | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW.09923642 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409270400000",
"number": "1801207311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11059 E. BETHANY DRIVE",
"city": "AURORA",
"state": "CO",
"postal_code": "80014",
"telephone_number": "303-617-2300",
"fax_number": "303-617-2365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1646 ELMIRA STREET",
"city": "AURORA",
"state": "CO",
"postal_code": "80010",
"telephone_number": "303-617-2300",
"fax_number": "303-617-2365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YABAR",
"first_name": "MAURICIO",
"credential": "MSW, M.ED.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-19",
"last_updated": "2014-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09923642",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12730219",
"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 Aug 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.