| Samantha Ivy Llc | |
|
6863 Johnson St Arvada CO 80004-2948 | |
| (720) 722-1731 | |
| Not Available |
| Full Name | Samantha Ivy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 6863 Johnson St, Arvada, Colorado |
| Authorized Official Name and Position | Samantha Silverman (OWNER) |
| Authorized Official Contact | 7207221731 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Ivy Llc 6863 Johnson St Arvada CO 80004-2948 Ph: (720) 722-1731 | Samantha Ivy Llc 6863 Johnson St Arvada CO 80004-2948 Ph: (720) 722-1731 |
| NPI Number | 1427557008 |
|---|---|
| Provider Enumeration Date | 02/08/2018 |
| Last Update Date | 04/09/2025 |
| Certification Date | 04/09/2025 |
| Medicare PECOS PAC ID | 0840552386 |
|---|---|
| Medicare Enrollment ID | O20180322000570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427557008 | NPI | - | NPPES |
| 1215999263 | Other | FL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Samantha Ivy Silverman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215999263 PECOS PAC ID: 7719254044 Enrollment ID: I20170517000657 |
| Provider Name | Wendy Karsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245892447 PECOS PAC ID: 5092147629 Enrollment ID: I20191119002496 |
| Provider Name | Elizabeth Noyes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659906907 PECOS PAC ID: 5597195719 Enrollment ID: I20200430000728 |
| Provider Name | Karen Marie Devine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144824103 PECOS PAC ID: 5991116469 Enrollment ID: I20201204002429 |
| Provider Name | Lindsey R Guthals |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053999821 PECOS PAC ID: 9133528995 Enrollment ID: I20210527000508 |
| Provider Name | Monica Connell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366150831 PECOS PAC ID: 2860864071 Enrollment ID: I20230216003111 |
| Provider Name | Sara Desiree Martin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821648999 PECOS PAC ID: 5395194807 Enrollment ID: I20231208003109 |
| Provider Name | Tanya Ogrady |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265200901 PECOS PAC ID: 9739539263 Enrollment ID: I20231227000171 |
| Provider Name | Katie Hersom |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043075161 PECOS PAC ID: 3072950443 Enrollment ID: I20240320003208 |
| Provider Name | Glenn Permar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336986306 PECOS PAC ID: 2567908593 Enrollment ID: I20240725002743 |
| Provider Name | Samantha S Cowper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013214105 PECOS PAC ID: 6507393774 Enrollment ID: I20241230002015 |
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