Active NPI
Li Brookens, LCSW
- Clinical Social Worker
- Boulder, CO
National Provider Identifier
1902228059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 09923331
- Practice address
- 2769 Iris Ave Ste 118
Boulder, CO 80304 - Phone
- (720) 663-0163
- Fax
- (303) 658-9871
- NPI assigned
- Jan 8, 2014
- 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 | 09923331 | CO | Primary |
Addresses
Primary practice location
2769 Iris Ave Ste 118
Boulder, CO 80304
Mailing address
2769 Iris Ave Ste 118
Boulder, CO 80304-4405
Phone (720) 663-0163
Other names 1
- Li Brookens
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09923331 | CO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umbrella Collective Inc | Clinical | Current | Accepting new patients |
| Umbrella Collective Inc | Clinical | Current | Accepting new patients |
| Umbrella Collective Inc | Clinical | Past | Accepting new patients |
Locations
2919 Valmont Rd
Ste 104
Boulder, CO 80301
Phone (303) 442-2126
2769 Iris Ave
Ste 118
Boulder, CO 80304
Phone (720) 663-0163
3464 S Willow St
Ste 185
Denver, CO 80231
Organizations & group practices 3
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.
-
- Clinical Social Worker
- Boulder, CO
- NPI 1881045326
-
- Clinical Social Worker
- Boulder, CO
- NPI 1437880200
-
- Clinical Social Worker
- Boulder, CO
- NPI 1316862634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1902228059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2769 IRIS AVE STE 118",
"city": "BOULDER",
"state": "CO",
"postal_code": "803044405",
"telephone_number": "720-663-0163",
"fax_number": "303-658-9871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2769 IRIS AVE STE 118",
"city": "BOULDER",
"state": "CO",
"postal_code": "80304",
"telephone_number": "720-663-0163",
"fax_number": "303-658-9871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKENS",
"first_name": "LI",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-08",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "09923331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LI",
"last_name": "BROOKENS",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.