NPIMap

Individual provider Active NPI

Toni Ellen Sladek, LCSW

  • Clinical Social Worker
  • Fort Collins, CO
National Provider Identifier
1063559813
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.00989589 Issued in CO
Practice address
1024 S Lemay Ave
Fort Collins, CO 80524
Phone
(970) 495-8020
Fax
(970) 495-7686
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1041C0700X FL
Clinical Social Worker 1041C0700X CSW.00989589 CO Primary

Addresses

Primary practice location

1024 S Lemay Ave
Fort Collins, CO 80524

Mailing address

1024 S Lemay Ave
Fort Collins, CO 80524-3929
Phone (970) 495-8020

Other practice location 1

4601 Corbett Dr
Fort Collins, CO 80528-9579
Phone (970) 689-6460

Other practice location 2

4601 Corbett Dr
Fort Collins, CO 80528-9579
Phone (970) 689-6460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180226002547 CO Practitioner - Clinical Social Worker 8729349261 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

1024 S Lemay Ave
Uchmg Palliative Care
Fort Collins, CO 80524-3929
Phone (970) 495-8369

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1041C0700XFLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Health Care Inc. Current Accepting new patients
Poudre Valley Health Care, Inc CurrentSince Feb 1, 2018 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Nov 1, 2019 Accepting new patients
Poudre Valley Health Care Inc CurrentSince Feb 1, 2018 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Nov 1, 2019 Accepting new patients

Locations

2450 S Peoria St
Ste 248
Aurora, CO 80014
Phone (303) 752-7747

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

1024 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 495-7000

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

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

1025 Pennock Pl
Ste 121
Fort Collins, CO 80524
Phone (970) 495-8800

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1063559813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 S LEMAY AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243929",
            "telephone_number": "970-495-8020",
            "fax_number": "970-495-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 S LEMAY AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80524",
            "telephone_number": "970-495-8020",
            "fax_number": "970-495-7686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4601 Corbett Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805289579",
            "country_code": "US",
            "telephone_number": "970-689-6460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4601 Corbett Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805289579",
            "country_code": "US",
            "telephone_number": "970-689-6460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLADEK",
        "first_name": "TONI",
        "middle_name": "ELLEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "1041C0700X",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.00989589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.