MIRAMONT FAMILY MEDICINE
NPI 1124427182
Social Worker - Clinical in Fort Collins, CO
NPI Status: Active since August 15, 2014
Contact Information
4674 SNOW MESA DR
STE 140
FORT COLLINS, CO
ZIP 80528
Phone: (970) 482-0213
Fax: (970) 482-9646
- Organization
- Social Worker
- Clinical
- CLIA Number: 06D0515984
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-19-2027
About MIRAMONT FAMILY MEDICINE
This page provides the complete NPI Profile along with additional information for Miramont Family Medicine, a provider established in Fort Collins, Colorado operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1124427182 assigned on August 2014. The practitioner's primary taxonomy code is 1041C0700X with license number 7739861-3501 (UT). The provider is registered as an organization and their NPI record was last updated 12 years ago. Miramont Family Medicine operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Miramont Family Medicine. The authorized official of this NPI record is Teresa E Bender (Chief Operations Officer)
- NPI
- 1124427182
- Provider Legal Name
- BENDER MEDICAL GROUP
- Other Organization Name
- MIRAMONT FAMILY MEDICINE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4674 SNOW MESA DR STE 140 FORT COLLINS, CO 80528
- Location Phone
- (970) 482-0213
- Location Fax
- (970) 482-9646
- Mailing Address
- 4674 SNOW MESA DR STE 140 FORT COLLINS, CO 80528
- Mailing Phone
- (970) 482-0213
- Mailing Fax
- (970) 482-9646
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-15-2014
- Last Update Date
- 08-15-2014
- Code Navigator
A clinical social worker like Miramont Family Medicine is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 7739861-3501
- License State
- UT
- Taxonomy Description
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 06D0515984
- Facility Type
- Physician Office
- Certificate Effective Date
- November 20, 2025
- Certificate Expiration Date
- November 19, 2027
- Laboratory Director
- DR. INGERLISA MATTOCH
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Miramont Family Medicine on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1124427182, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
FORT COLLINS, CO 80528
FORT COLLINS, CO 80528
FORT COLLINS, CO 80528
FORT COLLINS, CO 80528
FORT COLLINS, CO 80528
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124427182, enumerated as an "organization" on August 15, 2014.
The provider is located at 4674 SNOW MESA DR STE 140 FORT COLLINS, CO 80528 and the phone number is (970) 482-0213.
Social Worker with taxonomy code 1041C0700X and a focus in Clinical.
