Active NPI
Elizabeth Imhoff, LCSW
- Clinical Social Worker
- Dillon, CO
National Provider Identifier
1962274399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.09929853
- Practice address
- 330 Fiedler Ave Ste 207
Dillon, CO 80435-6930 - Phone
- (719) 888-9972
- NPI assigned
- Oct 30, 2023
- Sex
- Female
- Sole proprietor
- Yes
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.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Psychotherapy, PLLC | Clinical | Current | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW.09929853 | CO | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
330 Fiedler Ave Ste 207
Dillon, CO 80435-6930
Mailing address
330 Fiedler Ave Ste 207
Dillon, CO 80435-6930
Other practice location 1
11600 W 2nd Pl
Lakewood, CO 80228-1527
Phone (720) 321-0000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 27, 2024.
{
"created_epoch": "1698624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1962274399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 FIEDLER AVE STE 207",
"city": "DILLON",
"state": "CO",
"postal_code": "804356930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 FIEDLER AVE STE 207",
"city": "DILLON",
"state": "CO",
"postal_code": "804356930",
"telephone_number": "719-888-9972"
}
],
"practiceLocations": [
{
"address_1": "11600 W 2nd Pl",
"address_purpose": "LOCATION",
"city": "Lakewood",
"state": "CO",
"postal_code": "802281527",
"country_code": "US",
"telephone_number": "720-321-0000",
"fax_number": "720-321-4165",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IMHOFF",
"first_name": "ELIZABETH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-30",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09929853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dillon, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.