PAULA JOY PASSANISI IV
NPI 1548419625
Social Worker - Clinical in Boulder, CO

Q: What is Paula Passanisi's NPI number?

The NPI number for Paula Passanisi is 1548419625. It was assigned to this individual provider in the NPPES registry on September 15, 2008.

Q: What is Paula Passanisi's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: Is Paula Passanisi enrolled in Medicare?

No. Paula Passanisi has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Paula Passanisi was last updated on September 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 15, 2008Opted out of Medicare · through Apr 1, 2028

1333 IRIS AVE, BOULDER, CO 80304(617) 501-2884 Get Directions Write a Review

NPPES record last updated: September 15, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Paula Joy Passanisi Iv NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAULA JOY PASSANISI IV (NPI 1548419625) is an individual clinical provider in Boulder, Colorado and active in the NPI registry since September 2008. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1548419625

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NamePAULA JOY PASSANISI IV

Location Address1333 IRIS AVEBoulder, CO 80304-2226

Mailing Address3013 13th StreetBoulder, CO 80304 · (617) 501-2884

Phone(617) 501-2884

Sole ProprietorYes

Enumeration DateSeptember 15, 2008

✔ NPI 1548419625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

1333 IRIS AVE, Boulder, CO 80304

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Paula Joy Passanisi Iv has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARLOS TRUJILLO

Counselor (Mental Health)