Individual provider Active NPI

Marlena Rangwalla Romero, L.C.S.W.

  • Clinical Social Worker
  • Evergreen, CO
National Provider Identifier
1932436292
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
981 Issued in CO
Practice address
32214 Ellingwood TRL
Evergreen, CO 80439-9779
Phone
(303) 679-2020
Fax
(303) 670-2160
NPI assigned
Nov 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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 981 CO Primary

Addresses

Primary practice location

32214 Ellingwood TRL
Evergreen, CO 80439-9779

Mailing address

4159 Lowell Blvd
Denver, CO 80211-1658
Phone (303) 458-7220

Other practice location 1

4159 Lowell Blvd
Denver, CO 80211-1658
Phone (303) 458-7220 ext. 271

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.msvhome.org

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
I20180220002760 CO Practitioner - Clinical Social Worker 5799046405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

32214 Ellingwood TRL
210 Evgn Primary Care
Evergreen, CO 80439-9719
Phone (303) 679-2020

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
89.53
Promoting interoperability
100
Improvement activities
40
Cost
74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado CurrentSince Apr 18, 2021 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Apr 18, 2021 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Asian Pacific Center for Human Development Past Accepting new patients
Asian Pacific Development Center of Colorado Past Accepting new patients

Locations

32214 Ellingwood Trl
Ste 210
Evergreen, CO 80439
Phone (303) 679-2020

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1932436292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4159 LOWELL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802111658",
            "telephone_number": "303-458-7220",
            "fax_number": "303-477-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32214 ELLINGWOOD TRL",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804399779",
            "telephone_number": "303-679-2020",
            "fax_number": "303-670-2160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4159 Lowell Blvd",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802111658",
            "country_code": "US",
            "telephone_number": "303-458-7220 x271",
            "fax_number": "303-477-7559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "MARLENA",
        "middle_name": "RANGWALLA",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-06",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.msvhome.org",
            "affiliation": "N",
            "address_1": "4159 Lowell Blvd",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802111658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evergreen, CO

Sources for this page

Verify at the official NPI Registry.