NPI 1053644922 · Licensed Clinical Social Worker · Uhc Umr
Active in carrier directories but no matching Colorado DORA license record found.
NPPES
BOULDER, 80303
Freshness: Unknown
Network Status
Listed with 4 carriers
DORA License
No license data
Medicare
Non-Medicare specialty
17 beneficiaries
$15,943.64 total payment
Specialty: Licensed Clinical Social Worker
Care Compare
Address mismatch with NPPES
PECOS Enrollment
Medicare enrolled
Order/Referring eligible: Yes
Active NPI with specialty classification
No DORA license data found
Active Medicare billing confirmed
Single address source (NPPES)
Listed in multiple carrier networks
4 networks across 2 carriers
Disclaimer: This analysis uses publicly available federal and state data sources. It does not constitute a determination of provider status or network participation. Contact the provider or health plan directly to verify current status.