Individual provider Active NPI

Kathleen Salmon, LCSW

  • Clinical Social Worker
  • Boulder, CO
National Provider Identifier
1982050027
Registry record updated Oct 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09924561 Issued in CO
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

Updated by the provider on Oct 30, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
LSW.0009920772COMDSocial Worker
CSW.09924561COMDClinical Social Worker
NLC.0105493COMDCommunity 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.

Verify at the official NPI Registry.