Active NPI
Mary Selig Justice, MSW
- Social Worker
- Denver, CO
National Provider Identifier
1972858249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- REGISTRATION#12094
- Practice address
- 4525 East 8TH Avenue
Denver, CO 80220-3802 - Phone
- (303) 915-8453
- NPI assigned
- Jul 23, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | REGISTRATION#12094 | CO | Primary |
Addresses
Primary practice location
4525 East 8TH Avenue
Denver, CO 80220-3802
Mailing address
4201 East 6TH Avenue
Denver, CO 80220-4908
Phone (303) 915-8453
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 |
|---|---|---|---|
| REGISTRATION#12094 | CO | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343001600000",
"number": "1972858249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 EAST 6TH AVENUE",
"city": "DENVER",
"state": "CO",
"postal_code": "802204908",
"telephone_number": "303-915-8453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4525 EAST 8TH AVENUE",
"city": "DENVER",
"state": "CO",
"postal_code": "802203802",
"telephone_number": "303-915-8453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUSTICE",
"first_name": "MARY",
"middle_name": "SELIG",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-23",
"last_updated": "2012-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CO",
"license": "REGISTRATION#12094",
"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 Jul 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.