Olivia Bray Meneses, MSW, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LSW.0009924069 Issued in CO

Practice address

1507 Riverside Ave Unit 200
Fort Collins, CO 80524-4383

Phone

(970) 658-0561

NPI assigned

Nov 2, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1912614504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 RIVERSIDE AVE UNIT 200",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244383",
            "telephone_number": "970-658-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 RIVERSIDE AVE UNIT 200",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244383",
            "telephone_number": "970-658-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENESES",
        "first_name": "OLIVIA",
        "middle_name": "BRAY",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "LSW.0009924069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "olivia@empoweredplayco.com",
            "affiliation": "N",
            "endpointDescription": "work email protected",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1507 Riverside Ave Unit 200",
            "city": "Fort Collins",
            "state": "CO",
            "country_code": "US",
            "postal_code": "805244383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Social Worker in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.