Individual provider Active NPI

Alyssa Wright, LCSW

  • Clinical Social Worker
  • Fort Collins, CO
National Provider Identifier
1003284753
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09924573 Issued in CO
Practice address
2627 Redwing Rd Ste 250
Fort Collins, CO 80526-6329
Phone
(970) 430-6061
NPI assigned
Sep 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 09924573 CO Primary

Addresses

Primary practice location

2627 Redwing Rd Ste 250
Fort Collins, CO 80526-6329

Mailing address

2627 Redwing Rd Ste 120
Fort Collins, CO 80526-6310
Phone (970) 430-6061

Other practice location 1

135 W Swallow Rd Bldg B
Fort Collins, CO 80525-2563
Phone (970) 818-2119

Other identifiers 1

IdentifierTypeStateIssuer
9000184615MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
09924573COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Counseling and Wellness Clinical CurrentSince May 17, 2020 Accepting new patients

Locations

2627 Redwing Rd
Ste 120
Fort Collins, CO 80526
Phone (970) 430-6061

2627 Redwing Rd
Ste 250
Fort Collins, CO 80526
Phone (970) 402-8543

135 W Swallow Rd
Bldg B
Fort Collins, CO 80525
Phone (330) 307-8948

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1003284753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 REDWING RD STE 120",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266310",
            "telephone_number": "970-430-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 REDWING RD STE 250",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266329",
            "telephone_number": "970-430-6061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 W Swallow Rd Bldg B",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805252563",
            "country_code": "US",
            "telephone_number": "970-818-2119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "ALYSSA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-11",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09924573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000184615",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.