Individual provider Active NPI

Katie E Macdonell, LCSW

  • Clinical Social Worker
  • Fort Collins, CO
National Provider Identifier
1114694791
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09931235 Issued in CO
Practice address
4803 Innovation Dr Ste 3a
Fort Collins, CO 80525-7308
Phone
(631) 942-2245
NPI assigned
Aug 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LSW.0009924528 CO
Clinical Social Worker 1041C0700X CSW.09931235 CO Primary

Addresses

Primary practice location

4803 Innovation Dr Ste 3a
Fort Collins, CO 80525-7308

Mailing address

4803 Innovation Dr Ste 3a
Fort Collins, CO 80525-7308
Phone (970) 310-3406

Other names 1

  • Katie Speer Former name

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
I20250210002118 CO Practitioner - Clinical Social Worker 2860922606 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSW.0009924528COMDSocial Worker
CSW.09931235COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Centered Counseling, PC Clinical CurrentSince Dec 6, 2024 Accepting new patients
Heart Centered Counseling, PC Clinical Current Accepting new patients
Heart Centered Counseling, PC Clinical CurrentSince Dec 6, 2024 Accepting new patients
Specialized Alternatives for Families and Youth of Colorado, Inc. PastSince Aug 1, 2021 Accepting new patients
Specialized Alternatives for Families and Youth of Colorado, Inc. PastSince Aug 1, 2021 Accepting new patients

Locations

4803 Innovation Dr
Ste 3A
Fort Collins, CO 80525
Phone (269) 313-5094

1770 25th Ave
Ste 206
Greeley, CO 80634
Phone (303) 664-5281

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.

NPI Registry JSON

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1114694791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4803 INNOVATION DR STE 3A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805257308",
            "telephone_number": "970-310-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4803 INNOVATION DR STE 3A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805257308",
            "telephone_number": "631-942-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONELL",
        "first_name": "KATIE",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "LSW.0009924528",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09931235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "SPEER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.