Individual provider Active NPI

Brianna Rose Roggow, LCSW

  • Clinical Social Worker
  • Boulder, CO
National Provider Identifier
1851747232
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09925169 Issued in CO
Practice address
1650 38TH St Ste 100E
Boulder, CO 80301-2624
Phone
(720) 741-7010
Fax
(720) 405-4502
NPI assigned
May 4, 2016
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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.09925169 CO Primary

Addresses

Primary practice location

1650 38TH St Ste 100E
Boulder, CO 80301-2624

Mailing address

1650 28TH St # 100E
Boulder, CO 80301-1012
Phone (720) 741-7010

Other practice location 1

400 W Baseline Rd Unit A2
Lafayette, CO 80026-1995
Phone (720) 741-7010

Other names 1

  • Ms. Brianna Rose Green Former name

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
I20191010001661 CO Practitioner - Clinical Social Worker 3971834664 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
Group practices
Westside Behavioral Care, Inc.Group PAC ID 8426031774, 13 clinicians

Practice addresses (Care Compare)

1319 S Downing St
Denver, CO 80210-2310
Phone (303) 675-5463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Behavioral Care, Inc. Clinical CurrentSince Oct 4, 2021 Accepting new patients

Locations

950 Wadsworth Blvd
Ste 202
Lakewood, CO 80214
Phone (303) 257-7047

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, 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": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1851747232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 28TH ST # 100E",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011012",
            "telephone_number": "720-741-7010",
            "fax_number": "720-405-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 38TH ST STE 100E",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012624",
            "telephone_number": "720-741-7010",
            "fax_number": "720-405-4502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 W Baseline Rd Unit A2",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CO",
            "postal_code": "800261995",
            "country_code": "US",
            "telephone_number": "720-741-7010",
            "fax_number": "720-405-4502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGGOW",
        "first_name": "BRIANNA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09925169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNA",
            "last_name": "GREEN",
            "middle_name": "ROSE",
            "prefix": "MS.",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.