Individual provider Active NPI

Carina Kellenberger, LCSW

  • Clinical Social Worker
  • Littleton, CO
National Provider Identifier
1811465610
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09924062 Issued in CO
Practice address
7811 W Titan Rd
Littleton, CO 80125-9527
Phone
(303) 908-8853
NPI assigned
Nov 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 09924062 CO Primary

Addresses

Primary practice location

7811 W Titan Rd
Littleton, CO 80125-9527

Mailing address

9709 Oxford Rd
Longmont, CO 80504-7708
Phone (303) 908-8853

Other practice location 1

7663 E County Line Rd
Longmont, CO 80504-8430
Phone (303) 908-8853

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
09924062COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Equine Assisted Psychotherapy, LLC CurrentSince Apr 6, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1811465610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9709 OXFORD RD",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805047708",
            "telephone_number": "303-908-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7811 W TITAN RD",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801259527",
            "telephone_number": "303-908-8853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7663 E County Line Rd",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805048430",
            "country_code": "US",
            "telephone_number": "303-908-8853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLENBERGER",
        "first_name": "CARINA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-09",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09924062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.