Individual provider Active NPI

Melissa Jean Bruce

  • Clinical Social Worker
  • Aurora, CO
National Provider Identifier
1861004616
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09926027 Issued in CO
Practice address
14730 E Grand Ave
Aurora, CO 80015-2235
Phone
(516) 761-2697
NPI assigned
Aug 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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 09926027 CO Primary

Addresses

Primary practice location

14730 E Grand Ave
Aurora, CO 80015-2235

Mailing address

14730 E Grand Ave
Aurora, CO 80015-2235
Phone (516) 761-2697

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
I20200901003014 CO Practitioner - Clinical Social Worker 3375960453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freedomchoice LLCGroup PAC ID 8729326988, 8 clinicians

Practice addresses (Care Compare)

5655 S Yosemite St
Suite 109
Greenwood Village, CO 80111-3219
Phone (720) 213-5955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09926027COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Freedomchoice LLC CurrentSince Aug 21, 2020 Accepting new patients
Freedomchoice LLC PastSince Aug 10, 2025 Accepting new patients

Locations

5655 S Yosemite St
Ste 109
Greenwood Village, CO 80111
Phone (720) 213-5955

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": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1861004616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14730 E GRAND AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800152235",
            "telephone_number": "516-761-2697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14730 E GRAND AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800152235",
            "telephone_number": "516-761-2697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "MELISSA",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09926027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.