NPIMap

Individual provider Active NPI

Michael Damioli, LCSW

  • Clinical Social Worker
  • Thornton, CO
National Provider Identifier
1811493596
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09925953 Issued in NU
Practice address
8800 Fox Dr Ste 110
Thornton, CO 80260-6880
Phone
(330) 506-1145
NPI assigned
Apr 2, 2018
Last updated
Apr 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09925953 NU Primary

Addresses

Primary practice location

8800 Fox Dr Ste 110
Thornton, CO 80260-6880

Mailing address

9300 E Florida Ave Unit 605
Denver, CO 80247-3417
Phone (330) 506-1145

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

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Medication Assisted Recovery CurrentSince May 10, 2020 Accepting new patients

Locations

8800 Fox Dr
Ste 110
Thornton, CO 80260
Phone (720) 381-0072

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1811493596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 E FLORIDA AVE UNIT 605",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802473417",
            "telephone_number": "330-506-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 FOX DR STE 110",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802606880",
            "telephone_number": "330-506-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMIOLI",
        "first_name": "MICHAEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-02",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": "CSW.09925953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.