Active NPI
Amiessa Dawn Jutten, LCSW
- Clinical Social Worker
- Montrose, CO
National Provider Identifier
1982252698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.09924150
- Practice address
- 1010 S Cascade Ave Ste E
Montrose, CO 81401-4980 - Phone
- (970) 465-2714
- Fax
- (970) 230-5913
- NPI assigned
- Aug 27, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW.09924150 | CO | Primary |
Addresses
Primary practice location
1010 S Cascade Ave Ste E
Montrose, CO 81401-4980
Mailing address
236 S 3Rd St # 308
Montrose, CO 81401-3618
Phone (970) 465-2714
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW.09924150 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566864000000",
"number": "1982252698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "236 S 3RD ST # 308",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814013618",
"telephone_number": "970-465-2714",
"fax_number": "970-230-5913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 S CASCADE AVE STE E",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814014980",
"telephone_number": "970-465-2714",
"fax_number": "970-230-5913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUTTEN",
"first_name": "AMIESSA",
"middle_name": "DAWN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-27",
"last_updated": "2019-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09924150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montrose, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.