Individual provider Active NPI

Cheryl Wegelin, LCSW

  • Clinical Social Worker
  • Pueblo, CO
National Provider Identifier
1124150883
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
635 W Corona Ave Ste 125
Pueblo, CO 81004-1219
Phone
(719) 470-2744
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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 Primary

Addresses

Primary practice location

635 W Corona Ave Ste 125
Pueblo, CO 81004-1219

Mailing address

PO Box 52
Rye, CO 81069-0052
Phone (719) 470-2744

Other practice location 1

2113 Main St Ste F
Rye, CO 81069-5015
Phone (719) 470-2744

Other identifiers 1

IdentifierTypeStateIssuer
22738517MedicaidCO

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
I20060406000292 CO Practitioner - Clinical Social Worker 2163431909 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

56 Club Manor Dr
Suite 100
Pueblo, CO 81008-1685
Phone (719) 584-4767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC Current Accepting new patients
Pueblo Community Health Center Inc Current Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jun 1, 2025 Accepting new patients
Pueblo Community Health Center Inc CurrentSince May 7, 2018 Accepting new patients
Pueblo Community Health Center Inc CurrentSince May 7, 2018 Accepting new patients

Locations

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

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

110 E Routt Ave
Pueblo, CO 81004
Phone (719) 543-8718

56 Club Manor Dr
Ste 100
Pueblo, CO 81008
Phone (719) 584-4767

1619 N Greenwood St
Ste 106
Pueblo, CO 81003
Phone (719) 595-7760

300 Colorado Ave
Pueblo, CO 81004
Phone (719) 543-8718

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": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1124150883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52",
            "city": "RYE",
            "state": "CO",
            "postal_code": "810690052",
            "telephone_number": "719-470-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 W CORONA AVE STE 125",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810041219",
            "telephone_number": "719-470-2744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2113 Main St Ste F",
            "address_purpose": "LOCATION",
            "city": "Rye",
            "state": "CO",
            "postal_code": "810695015",
            "country_code": "US",
            "telephone_number": "719-470-2744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEGELIN",
        "first_name": "CHERYL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22738517",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.