Individual provider Active NPI

Olga Naroditskaya Jr., M.S.W

  • Social Worker
  • Denver, CO
National Provider Identifier
1952846958
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LSW.0009921294 Issued in CO
Practice address
1724 N Gilpin St
Denver, CO 80218-1206
Phone
(303) 237-6865
NPI assigned
Dec 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LSW.0009921294 CO Primary

Addresses

Primary practice location

1724 N Gilpin St
Denver, CO 80218-1206

Mailing address

504 Meredith Anne CT
Apt 202
Raleigh, NC 27606-1390
Phone (720) 473-2688

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSW.0009921294COMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1952846958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 MEREDITH ANNE CT",
            "address_2": "APT 202",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276061390",
            "telephone_number": "720-473-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 N GILPIN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181206",
            "telephone_number": "303-237-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARODITSKAYA",
        "first_name": "OLGA",
        "name_suffix": "Jr.",
        "credential": "M.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-29",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "LSW.0009921294",
            "primary": true
        }
    ],
    "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 Apr 22, 2020; 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.