Individual provider Active NPI

Vernon T McCord, LCSW

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1952832537
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09924656 Issued in CO
Practice address
220 Ruskin Dr
Colorado Springs, CO 80910-2522
Phone
(719) 572-6100
NPI assigned
Mar 24, 2017
Last updated
Mar 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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 CSW.09924656 CO Primary

Addresses

Primary practice location

220 Ruskin Dr
Colorado Springs, CO 80910-2522

Mailing address

155 Inverness Dr W
Suite 200
Englewood, CO 80112-5095
Phone (303) 730-8858

Other practice location 1

5500 S Sycamore St
Littleton, CO 80120-8201
Phone (303) 730-8858

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
I20170419001259 CO Practitioner - Clinical Social Worker 1759667108 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Diversus Health IncGroup PAC ID 7719879204, 49 clinicians

Practice addresses (Care Compare)

1795 Jet Wing Dr
Colorado Springs, CO 80916-2332
Phone (719) 572-6100

6208 Lehman Dr
Colorado Springs, CO 80918-8408
Phone (719) 572-6100

875 W Moreno Ave
Colorado Springs, CO 80905-1731
Phone (719) 572-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09924656COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Diversus Health Inc Current Accepting new patients
Diversus Health Inc CurrentSince Mar 18, 2019 Accepting new patients
Diversus Health Inc CurrentSince Mar 18, 2019 Accepting new patients
Arapahoe Mental Health Center, Inc Current Accepting new patients
Arapahoe Mental Health Center, Inc CurrentSince Apr 3, 2017 Accepting new patients
Arapahoe Mental Health Center, Inc CurrentSince Apr 3, 2017 Accepting new patients

Locations

460 County Road 43
Ste 7
Bailey, CO 80421
Phone (303) 838-5013

328 10th St
Calhan, CO 80808

115 S Parkside Dr
Colorado Springs, CO 80910
Phone (719) 572-6340

179 S Parkside Dr
Colorado Springs, CO 80910
Phone (719) 572-6300

1795 Jet Wing Dr
Colorado Springs, CO 80916
Phone (719) 572-6111

220 Ruskin Dr
Colorado Springs, CO 80910
Phone (719) 572-6150

413 Security Blvd
Colorado Springs, CO 80911

6208 Lehman Dr
Colorado Springs, CO 80918
Phone (303) 730-0205

875 W Moreno Ave
Colorado Springs, CO 80905
Phone (719) 572-6200

116 Inverness Dr E
Ste 105
Englewood, CO 80112

155 Inverness Dr W
Ste 200
Englewood, CO 80112
Phone (303) 779-9676

5524 S Prince St
Littleton, CO 80120
Phone (303) 730-0797

18401 Highway 24
Ste 119
Woodland Park, CO 80863

Organizations & group practices 6

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": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1952832537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 INVERNESS DR W",
            "address_2": "SUITE 200",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125095",
            "telephone_number": "303-730-8858",
            "fax_number": "303-889-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 RUSKIN DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809102522",
            "telephone_number": "719-572-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5500 S Sycamore St",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801208201",
            "country_code": "US",
            "telephone_number": "303-730-8858",
            "fax_number": "303-889-0838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCORD",
        "first_name": "VERNON",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-24",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09924656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.