Debra K. Greenwood, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.09926337 Issued in CO

Practice address

400 W Midland Ave Ste 200
Woodland Park, CO 80863-3199

Phone

(719) 686-6703

Fax

(719) 325-8958

NPI assigned

Jan 28, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Debra Greenwood-Clark Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Crystal Creek Counseling , PC Inc.

  • Professional Counselor
  • Woodland Park, CO
  • NPI 1487113221
  NPD (past)
• Inspire Counseling & Psychological Services, LLC

  • Community/Behavioral Health Agency
  • Durant, OK
  • NPI 1194114801
  NPD (past)

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1972960458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5178",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808665178",
            "telephone_number": "719-686-6703",
            "fax_number": "719-325-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MIDLAND AVE STE 200",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808633199",
            "telephone_number": "719-686-6703",
            "fax_number": "719-325-8958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 S High St",
            "address_purpose": "LOCATION",
            "city": "Antlers",
            "state": "OK",
            "postal_code": "745233818",
            "country_code": "US",
            "telephone_number": "580-298-2830 x25",
            "fax_number": "580-298-6723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "114 S 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Durant",
            "state": "OK",
            "postal_code": "747015017",
            "country_code": "US",
            "telephone_number": "580-924-4779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENWOOD",
        "first_name": "DEBRA",
        "middle_name": "K.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-28",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09926337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK STATE BOARD OF LICENSED SWKERS",
            "identifier": "6579",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CO DEPARTMENT OF REGULATORY AGENCIES - STATE BOARD OF SWK EXAMINERS",
            "identifier": "CSW.09926337",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK STATE BOARD OF LICENSED SWKERS",
            "identifier": "5244",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "GREENWOOD-CLARK",
            "credential": "LCSW, UNDER SUPERVIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Benjamin Gibbons
• Jennifer Ann Gibson, FNP-C
• Noah John Glaser
• Jon Norman Green, M.D.
• Carol Greenstreet, PT
• Deanna Sue Gromelski, LPC
• Todd Grossman
• Jessica Marie Guida, M.A.,CCC-SLP
• Linda Jean Hamilton, PTA
• Sarah Haney, BS

• Clinical Social Worker in Woodland Park, CO
• Providers in Woodland Park, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.