Active NPI
Nicole Lynn Spitler
- Clinical Social Worker
- Denver, CO
National Provider Identifier
1942968854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- MSW011077
- Practice address
- 4353 E Colfax Ave
Denver, CO 80220-1115 - Phone
- (844) 493-8255
- NPI assigned
- Dec 8, 2021
- Last updated
- Sep 11, 2023
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | MSW011077 | GA | Primary |
| Social Worker | 104100000X |
Addresses
Primary practice location
4353 E Colfax Ave
Denver, CO 80220-1115
Mailing address
4353 E Colfax Ave
Denver, CO 80220-1115
Other practice location 1
2089 Teron Trce Ste 220
Dacula, GA 30019-1628
Phone (855) 284-7483
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 |
|---|---|---|---|
| MSW011077 | GA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1942968854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4353 E COLFAX AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802201115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4353 E COLFAX AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802201115",
"telephone_number": "844-493-8255"
}
],
"practiceLocations": [
{
"address_1": "2089 Teron Trce Ste 220",
"address_purpose": "LOCATION",
"city": "Dacula",
"state": "GA",
"postal_code": "300191628",
"country_code": "US",
"telephone_number": "855-284-7483",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPITLER",
"first_name": "NICOLE",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-08",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "MSW011077",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.