Active NPI
Janet D Severance
- Clinical Social Worker
- Fort Collins, CO
National Provider Identifier
1902153786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 591
- Practice address
- 305 Carpenter Rd
Fort Collins, CO 80525-4248 - Phone
- (970) 663-3500
- Fax
- (970) 292-1085
- NPI assigned
- Aug 10, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 591 | CO | Primary |
Addresses
Primary practice location
305 Carpenter Rd
Fort Collins, CO 80525-4248
Mailing address
305 Carpenter Rd
Fort Collins, CO 80525-4248
Phone (970) 663-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 636882 | Other | CO | VALUE OPTIONS - COLORADO MEDICAID BEHAVIORAL HEALTH |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 591 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349049600000",
"number": "1902153786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 CARPENTER RD",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805254248",
"telephone_number": "970-663-3500",
"fax_number": "970-292-1085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 CARPENTER RD",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805254248",
"telephone_number": "970-663-3500",
"fax_number": "970-292-1085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEVERANCE",
"first_name": "JANET",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-10",
"last_updated": "2012-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "591",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS - COLORADO MEDICAID BEHAVIORAL HEALTH",
"identifier": "636882",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.