Casey Daniels
Individual provider Active NPI Clinical Social Worker · Salida, CO
NPI 1982431425 · NPPES record last updated Sep 18, 2024
Key facts
- NPI
- 1982431425
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 09930912 (CO)
- Practice address
- 111 Vesta Rd # 81201
Salida, CO 81201-9327 - Phone
- (719) 371-6374
- NPI assigned
- Sep 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
- West Central Mental Health Center, Inc
Practice addresses (Care Compare)
3225 Independence Rd
Canon City, CO 81212-9380
Phone (719) 275-2351
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241022002582 | CO | Practitioner - Clinical Social Worker | 2062944515 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09930912 | CO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Central Mental Health Center, Inc | Current |
Accepting new patients | |
| West Central Mental Health Center Inc. | Current |
Accepting new patients | |
| West Central Mental Health Center, Inc. | Current | Accepting new patients |
Locations
3225 Independence Rd
Canon City, CO 81212
Phone (719) 275-2351
111 Vesta Rd
Salida, CO 81201
Phone (719) 275-2351
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 09930912 | CO | Yes |
Addresses
Primary practice location
111 Vesta Rd # 81201
Salida, CO 81201-9327
Mailing address
146 Mesa View LN
Salida, CO 81201-1713
Other providers in Salida, CO
- Crest Counseling Services
- Justin Michael Critelli
- Crystal Creek Counseling , PC Inc.
- Elizabeth Mae Curie
- Daniel Golin PHD LLC
- Gabrielle Day
- Sarah Deleon Guerrero
- Laura Ann Deloatch
- Stacy Denoyer
- Denver Vamc
All providers in Salida, CO · Clinical Social Worker in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.