Individual provider Active NPI

Emily Balch, LCSW

  • Clinical Social Worker
  • Conifer, CO
National Provider Identifier
1922436385
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9923391
Practice address
10791 Kitty Dr Ste a
Conifer, CO 80433-7748
Phone
(720) 805-6575
NPI assigned
Oct 23, 2013
Last updated
Jul 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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 9923391 Primary

Addresses

Primary practice location

10791 Kitty Dr Ste a
Conifer, CO 80433-7748

Mailing address

10791 Kitty Dr Ste a
Conifer, CO 80433-7748
Phone (720) 805-6575

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180111000527 CO Practitioner - Clinical Social Worker 6709145154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

720 S Colorado Blvd
PH North
Denver, CO 80246-1904
Phone (844) 843-7279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Roots Counseling, LLC Clinical CurrentSince Dec 28, 2022 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Jan 18, 2023 Accepting new patients
Jefferson Center for Mental Health Past Accepting new patients
Jefferson Center for Mental Health Past Accepting new patients

Locations

10791 Kitty Dr
Conifer, CO 80433
Phone (720) 689-3440

10791 Kitty Dr
Ste A
Conifer, CO 80433
Phone (303) 838-4686

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1922436385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10791 KITTY DR STE A",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804337748",
            "telephone_number": "720-805-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10791 KITTY DR STE A",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804337748",
            "telephone_number": "720-805-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALCH",
        "first_name": "EMILY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-23",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "9923391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conifer, CO

Sources for this page

Verify at the official NPI Registry.