The Deeper Connections, LLC/Dba Stacey Horn

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

639 Issued in CO

Legal business name

THE DEEPER CONNECTIONS, LLC/DBA STACEY HORN

Practice address

137 Main St Unit O-201
Edwards, CO 81632

Phone

(970) 440-9132

Fax

(970) 328-7832

NPI assigned

Dec 21, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stacey Horn, LCSW

Title

Owner

Phone

(970) 440-1324

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stacey Horn, LCSW Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526342400000",
    "number": "1912243858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6042",
            "city": "EAGLE",
            "state": "CO",
            "postal_code": "816316042",
            "telephone_number": "970-440-9132",
            "fax_number": "970-328-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 MAIN ST UNIT O-201",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "81632",
            "telephone_number": "970-440-9132",
            "fax_number": "970-328-7832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DEEPER CONNECTIONS, LLC/DBA STACEY HORN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-21",
        "last_updated": "2018-05-15",
        "status": "A",
        "authorized_official_last_name": "HORN",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-440-1324",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38820773",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stacey Horn, LCSW",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Stacey Horn, LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Social Worker in Edwards, CO
• Providers in Edwards, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.