Live Your Wellness LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

00992544 Issued in CO

Legal business name

LIVE YOUR WELLNESS LLC

Practice address

3240 S Corona St
Englewood, CO 80113-2816

Phone

(303) 622-5698

NPI assigned

Aug 22, 2015

Organization subpart

No

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

Authorized official

Name

Michael R Dell, LCSWNPI 1629174438

Title

Owner

Phone

(303) 622-5698

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael R Dell, LCSW

  • Clinical Social Worker
  • Englewood, CO
  • NPI 1629174438
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1440201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1821465121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100856",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802500856",
            "telephone_number": "303-622-5698",
            "fax_number": "303-563-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 S CORONA ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132816",
            "telephone_number": "303-622-5698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE YOUR WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-22",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "DELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-622-5698",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "00992544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Englewood, CO
• Providers in Englewood, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.