Individual provider Active NPI

Mandy Vigil, LCSW

  • Clinical Social Worker
  • Lakewood, CO
National Provider Identifier
1811576341
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
8805 W 14TH Ave Ste 300
Lakewood, CO 80215-4848
Phone
(720) 943-7080
Fax
(720) 316-7577
NPI assigned
Apr 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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 Primary

Addresses

Primary practice location

8805 W 14TH Ave Ste 300
Lakewood, CO 80215-4848

Mailing address

5300 Antequera Rd NW Apt 408
Albuquerque, NM 87120-4575
Phone (505) 620-0411

Other practice location 1

5300 Antequera Rd NW Apt 408
Albuquerque, NM 87120-4575
Phone (505) 620-0411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210504002462 CO Practitioner - Clinical Social Worker 9133538184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Higher Sights CounselingGroup PAC ID 1153747613, 38 clinicians

Practice addresses (Care Compare)

5353 W Dartmouth Ave
Suite 305
Denver, CO 80227-5515

5353 W Dartmouth Ave
Suite 305
Denver, CO 80227-5517
Phone (720) 943-7050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Higher Sights Counseling CurrentSince Apr 1, 2021 Accepting new patients

Locations

2855 N Speer Blvd
Denver, CO 80211
Phone (720) 446-6104

8805 W 14th Ave
Ste 300
Lakewood, CO 80215
Phone (720) 470-0382

5353 W Dartmouth Ave
Ste 305
Lakewood, CO 80227
Phone (720) 943-7050

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": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1811576341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 ANTEQUERA RD NW APT 408",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871204575",
            "telephone_number": "505-620-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8805 W 14TH AVE STE 300",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802154848",
            "telephone_number": "720-943-7080",
            "fax_number": "720-316-7577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5300 Antequera Rd NW Apt 408",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871204575",
            "country_code": "US",
            "telephone_number": "505-620-0411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIGIL",
        "first_name": "MANDY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-02",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.