Individual provider Active NPI

Maresa Sheryl Hubbard, LCSW, LAC

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1962929471
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09931175 Issued in CO
Practice address
1355 S Colorado Blvd Ste C100
Denver, CO 80222-3358
Phone
(720) 282-9381
NPI assigned
Aug 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0001654 CO
Clinical Social Worker 1041C0700X CSW.09931175 CO Primary

Addresses

Primary practice location

1355 S Colorado Blvd Ste C100
Denver, CO 80222-3358

Mailing address

19468 E 62ND Ave
Aurora, CO 80019-2136
Phone (720) 288-1275

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
I20241230002792 CO Practitioner - Clinical Social Worker 2264969450 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACD.0001654COMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Maria Droste Services of Colorado, Inc. Clinical CurrentSince Dec 11, 2024 Accepting new patients
Mindful Therapy Group of Colorado, PC Clinical CurrentSince Aug 21, 2025 Accepting new patients
Mindful Therapy Group of Colorado, P.C. CurrentSince Aug 21, 2025 Accepting new patients

Locations

1355 S Colorado Blvd
Ste C100
Denver, CO 80222
Phone (303) 756-9052

8490 E Crescent Pkwy
Ste 200
Greenwood Village, CO 80111
Phone (720) 316-6434

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

Organizations & group practices 3

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": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1962929471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19468 E 62ND AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800192136",
            "telephone_number": "720-288-1275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 S COLORADO BLVD STE C100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223358",
            "telephone_number": "720-282-9381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "MARESA",
        "middle_name": "SHERYL",
        "name_prefix": "Dr.",
        "credential": "LCSW, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-25",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0001654",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09931175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.