Active NPI
Gavyn Taylor Pellicori
- Clinical Social Worker
- Aurora, CO
National Provider Identifier
1942965157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.09930620
- Practice address
- 705 Ironton St
Aurora, CO 80010-4018 - Phone
- (262) 909-2021
- NPI assigned
- Nov 2, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | CSW.09930620 | CO | Primary |
Addresses
Primary practice location
705 Ironton St
Aurora, CO 80010-4018
Mailing address
705 Ironton St
Aurora, CO 80010-4018
Other practice location 1
325 King St
Denver, CO 80219-1326
Phone (303) 225-4100
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
| License | State | Type | Specialty |
|---|---|---|---|
| CSW.09930620 | CO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Savio House, Inc. | Social Worker | Past | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1942965157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 IRONTON ST",
"city": "AURORA",
"state": "CO",
"postal_code": "800104018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 IRONTON ST",
"city": "AURORA",
"state": "CO",
"postal_code": "800104018",
"telephone_number": "262-909-2021"
}
],
"practiceLocations": [
{
"address_1": "325 King St",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802191326",
"country_code": "US",
"telephone_number": "303-225-4100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PELLICORI",
"first_name": "GAVYN",
"middle_name": "TAYLOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-02",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09930620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.