Active NPI
Gina Marie Demattee, LCSW
- Clinical Social Worker
- Littleton, CO
National Provider Identifier
1831419969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 4555 W Mineral Dr Unit 514
Littleton, CO 80128-2568 - Phone
- (720) 556-8340
- NPI assigned
- Jun 11, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
4555 W Mineral Dr Unit 514
Littleton, CO 80128-2568
Mailing address
4555 W Mineral Dr Unit 514
Littleton, CO 80128-2568
Phone (720) 556-8340
Other practice location 1
9040 Jackson Ave
Tacoma, WA 98431-0001
Phone (719) 360-0127
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1831419969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4555 W MINERAL DR UNIT 514",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801282568",
"telephone_number": "720-556-8340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4555 W MINERAL DR UNIT 514",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801282568",
"telephone_number": "720-556-8340"
}
],
"practiceLocations": [
{
"address_1": "9040 Jackson Ave",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984310001",
"country_code": "US",
"telephone_number": "719-360-0127",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEMATTEE",
"first_name": "GINA",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-11",
"last_updated": "2020-11-17",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"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 Nov 17, 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.