Individual provider Active NPI

Amy Gillespie, LCSW

  • Clinical Social Worker
  • Centennial, CO
National Provider Identifier
1821387960
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
115372 Issued in CA
Practice address
7700 E Arapahoe Rd Ste 220
Centennial, CO 80112-1268
Phone
(802) 734-6792
NPI assigned
Mar 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 084025 NY
Clinical Social Worker 1041C0700X 115372 CA Primary

Addresses

Primary practice location

7700 E Arapahoe Rd Ste 220
Centennial, CO 80112-1268

Mailing address

7700 E Arapahoe Rd Ste 220
Centennial, CO 80112-1268
Phone (347) 433-6509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

234 Pheasant Run
Louisville, CO 80027-4302

720 S B St
San Mateo, CA 94401-4245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
115372CAMDClinical Social Worker
084025NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Resilience Psychotherapy LCSW PC Clinical Past Accepting new patients
Elephant in the Room LLC Past Accepting new patients

Organizations & group practices 2

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": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1821387960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 E ARAPAHOE RD STE 220",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121268",
            "telephone_number": "347-433-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 E ARAPAHOE RD STE 220",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121268",
            "telephone_number": "802-734-6792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "AMY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-29",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084025",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "115372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.