Carly Ambuske, LSW
Social Worker in Boulder, CO. Individual provider (NPI-1).
NPI number1093380321
StatusActive
Last updated in NPPESJan 26, 2024
Details
- NPI
- 1093380321
- Entity type
- Individual (NPI-1)
- Name
- Carly Ambuske
- Credential
- LSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 20, 2021
- Certification date
- Jan 26, 2024
- Last updated
- Jan 26, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 0009925257 | CO | Yes |
| 104100000X | Social Worker | SW131972 | PA |
Practice location
4430 Arapahoe Ave Ste 100Boulder, CO 80303-1196
Phone 720-310-0570
Mailing address
6753 Coors StPo Box 804
Arvada, CO 80004-1364
Phone 814-366-0402
Other practice locations
6753 Coors St
Arvada, CO 80004-2057
Arvada, CO 80004-2057
Phone 720-432-9704
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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