Individual provider Active NPI

Michaela Marie Brantley, MSW, SWC

  • Clinical Social Worker
  • Thornton, CO
National Provider Identifier
1922831148
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWC.0000001397 Issued in CO
Practice address
8800 Fox Dr Ste 110
Thornton, CO 80260-6880
Phone
(720) 381-0072
Fax
(720) 398-9645
NPI assigned
Aug 22, 2024
Last updated
Aug 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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 SWC.0000001397 CO Primary

Addresses

Primary practice location

8800 Fox Dr Ste 110
Thornton, CO 80260-6880

Mailing address

8800 Fox Dr Ste 110
Thornton, CO 80260-6880
Phone (720) 381-0072

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
SWC.0000001397COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Medication Assisted Recovery PastSince Aug 25, 2024 Accepting new patients

Organizations & group practices 1

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": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1922831148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 FOX DR STE 110",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802606880",
            "telephone_number": "720-381-0072",
            "fax_number": "720-398-9645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 FOX DR STE 110",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802606880",
            "telephone_number": "720-381-0072",
            "fax_number": "720-398-9645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANTLEY",
        "first_name": "MICHAELA",
        "middle_name": "MARIE",
        "credential": "MSW, SWC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "SWC.0000001397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.