Individual provider Active NPI

Ricki Leblang Illes, LCSW

  • Clinical Social Worker
  • Greenwood Village, CO
National Provider Identifier
1922128800
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
991849 Issued in CO
Practice address
5650 Greenwood Plaza Blvd
Suite 210
Greenwood Village, CO 80111-2307
Phone
(303) 741-2212
Fax
(303) 804-0173
NPI assigned
Apr 2, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 991849 CO Primary

Addresses

Primary practice location

5650 Greenwood Plaza Blvd
Suite 210
Greenwood Village, CO 80111-2307

Mailing address

9335 Riviera Hills Dr
Greenwood Village, CO 80111-3453
Phone (303) 741-2212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
991849COMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922128800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9335 RIVIERA HILLS DR",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801113453",
            "telephone_number": "303-741-2212",
            "fax_number": "303-804-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 GREENWOOD PLAZA BLVD",
            "address_2": "SUITE 210",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112307",
            "telephone_number": "303-741-2212",
            "fax_number": "303-804-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILLES",
        "first_name": "RICKI",
        "middle_name": "LEBLANG",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "991849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.