Individual provider Active NPI

Cynthia Renee' Lennox, LCSW

  • Clinical Social Worker
  • Dacono, CO
National Provider Identifier
1043698087
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09923359 Issued in CO
Practice address
521 Sterling LN
Dacono, CO 80514-9329
Phone
(618) 409-8304
NPI assigned
May 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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 149015887 IL
Clinical Social Worker 1041C0700X 2015013921 MO
Clinical Social Worker 1041C0700X 09923359 CO Primary

Addresses

Primary practice location

521 Sterling LN
Dacono, CO 80514-9329

Mailing address

521 Sterling LN
Dacono, CO 80514-9329
Phone (618) 409-8304

Other practice location 1

11083 Colorado Blvd
Firestone, CO 80504-5873
Phone (303) 833-8880

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
I20200618002690 CO Practitioner - Clinical Social Worker 2365864493 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09923359COMDClinical Social Worker
149015887ILMDClinical Social Worker
2015013921MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Health Care Inc CurrentSince Feb 4, 2025 Accepting new patients
Poudre Valley Health Care, Inc CurrentSince Feb 4, 2025 Accepting new patients
Poudre Valley Health Care Inc. Current Accepting new patients

Locations

1025 Pennock Pl
Fort Collins, CO 80524
Phone (970) 495-8800

4601 Corbett Dr
Fort Collins, CO 80528
Phone (970) 207-4800

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

Organizations & group practices 5

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Poudre Valley Medical Group LLC 2,425 clinicians

Practice addresses (Care Compare)

11083 Colorado Blvd
Firestone, CO 80504-5873
Phone (303) 833-8880

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1043698087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 STERLING LN",
            "city": "DACONO",
            "state": "CO",
            "postal_code": "805149329",
            "telephone_number": "618-409-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 STERLING LN",
            "city": "DACONO",
            "state": "CO",
            "postal_code": "805149329",
            "telephone_number": "618-409-8304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11083 Colorado Blvd",
            "address_purpose": "LOCATION",
            "city": "Firestone",
            "state": "CO",
            "postal_code": "805045873",
            "country_code": "US",
            "telephone_number": "303-833-8880",
            "fax_number": "303-833-8007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LENNOX",
        "first_name": "CYNTHIA",
        "middle_name": "RENEE'",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149015887",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2015013921",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09923359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dacono, CO

Sources for this page

Verify at the official NPI Registry.