Individual provider Active NPI

Sylvia B Schyberg, LCSW, PIP

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1043415409
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1262 Issued in CO
Practice address
1414 N Nevada Ave
Colorado Springs, CO 80907-7431
Phone
(719) 323-1616
NPI assigned
Jun 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0750-1885C AL
Clinical Social Worker 1041C0700X 003844 GA
Clinical Social Worker 1041C0700X 1262 CO Primary

Addresses

Primary practice location

1414 N Nevada Ave
Colorado Springs, CO 80907-7431

Mailing address

1414 N Nevada Ave
Colorado Springs, CO 80907-7431
Phone (719) 323-1616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150609000294 CO Practitioner - Clinical Social Worker 0941379895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1414 N Nevada Ave
Colorado Springs, CO 80907-7431
Phone (719) 323-1616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0750-1885CALMDClinical Social Worker
003844GAMDClinical Social Worker
1262COMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Reconnecting Therapies, LLC Clinical CurrentSince Apr 1, 2024 Accepting new patients
Connett and Associates Past Accepting new patients
Somatic Solutions, LLC Past Accepting new patients
Counseling Psychology Associates Past Accepting new patients

Locations

1219 Lake Plaza Dr
Ste B
Colorado Springs, CO 80906
Phone (417) 881-2339

1414 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 475-8038

Organizations & group practices 4

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": "1182038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1043415409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 N NEVADA AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809077431",
            "telephone_number": "719-323-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 N NEVADA AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809077431",
            "telephone_number": "719-323-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHYBERG",
        "first_name": "SYLVIA",
        "middle_name": "B",
        "credential": "LCSW, PIP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-17",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "0750-1885C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "003844",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "1262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.