MEREDITH ANN WALLER


Address: 1755 48th St Ste 200, Boulder, CO 80301-2712
Phone: 3034157450

MEREDITH ANN WALLER (NPI# 1992367395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992367395
Entity Type Individual
Full Name MEREDITH ANN WALLER
Credential LCSW
Practice Address 1755 48th St Ste 200
Boulder
CO 80301-2712
Mailing Address 5450 Western Ave
Boulder
CO 80301-2709
Practice Telephone 3034157450
Practice Fax Number 3034945265
Mailing Telephone 3034157450
Mailing Fax Number 3034945265
Enumeration Date 2019-07-05
Last Update Date 2019-07-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
CSW.09925874 CO Behavioral Health & Social Service Providers

Office Location

Street Address 1755 48TH ST STE 200
City BOULDER
State CO
Zip Code 80301-2712

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437154366 Kevin M Bundy Family Medicine 1755 48th St Ste 200, Boulder, CO 80301-2712 2005-06-16
1629625108 Boulder Community Health Clinic/Center 1755 48th St Ste 200, Boulder, CO 80301-2712 2019-08-20
1184175952 Reed P Fischer Physician Assistant 1755 48th St Ste 200, Boulder, CO 80301-2712 2016-10-17
1801343603 Teri Marie Welte Savoie Social Worker 1755 48th St Ste 200, Boulder, CO 80301-2712 2016-09-09
1952785610 Christine Marie Obermaier Nurse Practitioner 1755 48th St Ste 200, Boulder, CO 80301-2712 2015-07-13
1053723023 Andrew James Mcbride Family Medicine 1755 48th St Ste 200, Boulder, CO 80301 2014-05-27
1194992198 Nina Vergari Rogers Family Medicine 1755 48th St Ste 200, Boulder, CO 80301-2712 2008-05-09
1750442323 Carla A Keahey Nurse Practitioner 1755 48th St Ste 200, Boulder, CO 80301 2006-12-13
1336125103 Julie Ansell Family Medicine 1755 48th St Ste 200, Boulder, CO 80301-2712 2005-12-22
1225012834 Jana Wynett Family Medicine 1755 48th St Ste 200, Boulder, CO 80301-2712 2005-12-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265031454 Jonathan William Garson Social Worker 1790 30th St., Boulder, CO 80301 2020-10-20
1164048161 Crossroads Medical Center Family Medicine 2760 29th St., Suite 28, Boulder, CO 80301 2020-06-25
1316585045 Karissa Marlene Smith Registered Nurse 4770 Pearl Street, Suite A, Boulder, CO 80301 2019-12-12
1184273864 National Doula Network Doula 5918 Gunbarrel Ave Apt E, Boulder, CO 80301 2019-09-05
1861047086 Samuel Shay Chiropractor 1750 30th St, Ste 1, #226, Boulder, CO 80301 2019-08-05
1124504808 Be Free Live Now LLC Social Worker 2945 Center Creen Court, Suite G211, Boulder, CO 80301 2018-07-16
1720596703 Janis Dochterman Counselor 5378 Sterling Drive, Studio #3, Boulder, CO 80301 2018-01-12
1033628631 Whitney Shea Physical Therapy Assistant 3020 Carbon Place, #330, Physical Therapy of Boulder, Boulder, CO 80301 2017-09-26
1538688908 Kyle N. Daniel Dds PC Dentist 2830 Valmont Rd, Boulder, CO 80301 2017-09-16
1497205231 Jenna Orosco Counselor 2945 Center Green Ct. Suite H, Suite H, Boulder, CO 80301 2016-10-05
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265031454 Jonathan William Garson Social Worker 1790 30th St., Boulder, CO 80301 2020-10-20
1821603085 Timothy Kleinknecht Social Worker 3250 Oneal Cir Apt J36, Boulder, CO 80301-1469 2020-09-14
1831708205 Center for Valued Living, Pllc Social Worker 2825 Marine St Ste 204, Boulder, CO 80303-1027 2020-07-30
1528688140 Eandd, LLC Social Worker 1320 Ithaca Dr, Boulder, CO 80305-6334 2020-04-23
1720639065 Melissa Thompson Social Worker 6007 Oreg Ave, Boulder, CO 80303-1314 2019-09-27
1609426469 Cathy Summer Social Worker 350 Ponca Place, Suite 250, Boulder, CO 80303-3875 2019-09-13
1578126264 Lenora Rae Schlosser Social Worker 2653 Juniper Ave, Boulder, CO 80304-2459 2019-04-17
1619438074 Wendie J. Vanderwater Social Worker 110 Venture Way, Boulder, MT 59632 2019-03-28
1720545148 Ann Weatherby Social Worker 1249 Harrison Ct, Boulder, CO 80303-1138 2019-02-21
1700359460 Sarah Corrie Shapiro Social Worker 121 Kelly Rd E, Boulder, CO 80302-9670 2019-01-05
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Competitor

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City BOULDER
Zip Code 80301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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