Active NPI
Kathleen Salmon, LCSW
- Clinical Social Worker
- Boulder, CO
National Provider Identifier
1982050027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.09924561
- Practice address
- 2955 Valmont Rd
Suite 110
Boulder, CO 80301-1396 - Phone
- (908) 400-0311
- NPI assigned
- May 8, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LSW.0009920772 | CO | |
| Community Health Worker | 172V00000X | NLC.0105493 | CO | |
| Clinical Social Worker | 1041C0700X | CSW.09924561 | CO | Primary |
Addresses
Primary practice location
2955 Valmont Rd
Suite 110
Boulder, CO 80301-1396
Mailing address
3747 Talisman PL
Unit a
Boulder, CO 80301-2060
Phone (908) 400-0311
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 |
|---|---|---|---|
| LSW.0009920772 | CO | MD | Social Worker |
| CSW.09924561 | CO | MD | Clinical Social Worker |
| NLC.0105493 | CO | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477785600000",
"number": "1982050027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3747 TALISMAN PL",
"address_2": "UNIT A",
"city": "BOULDER",
"state": "CO",
"postal_code": "803012060",
"telephone_number": "908-400-0311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2955 VALMONT RD",
"address_2": "SUITE 110",
"city": "BOULDER",
"state": "CO",
"postal_code": "803011396",
"telephone_number": "908-400-0311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALMON",
"first_name": "KATHLEEN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-08",
"last_updated": "2016-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CO",
"license": "LSW.0009920772",
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CO",
"license": "NLC.0105493",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09924561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.