Mary Braun-Payne, LCSW
Individual provider Active NPI Clinical Social Worker · Franktown, CO
NPI 1811233968 · NPPES record last updated Dec 18, 2012
Key facts
- NPI
- 1811233968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 989486 (CO)
- Practice address
- 7792 Pine Ridge Rd
Franktown, CO 80116-9637 - Phone
- (720) 299-7654
- NPI assigned
- Dec 18, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 989486 | CO | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 989486 | CO | Yes |
Addresses
Primary practice location
7792 Pine Ridge Rd
Franktown, CO 80116-9637
Mailing address
7792 Pine Ridge Rd
Franktown, CO 80116-9637
Phone (720) 299-7654
Other providers in Franktown, CO
- Eric Avery
- Andrea Chilton Blocher
- Amy Bodette
- Jill Marie Carlson
- Paula B. Castro
- Val Dean
- Exceptional Pediatric Therapy, LLC
- Franktown Family Medicine, LLC
All providers in Franktown, CO · Clinical Social Worker in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.