Individual provider Active NPI

Jeremiah Scott

  • Clinical Social Worker
  • Durango, CO
National Provider Identifier
1134519317
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09924456 Issued in CO
Practice address
150 Mercury Village Dr
Durango, CO 81301-8955
Phone
(970) 335-2342
Fax
(970) 335-2438
NPI assigned
Jan 27, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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.0009920679 CO
Clinical Social Worker 1041C0700X CSW.09924456 CO Primary

Addresses

Primary practice location

150 Mercury Village Dr
Durango, CO 81301-8955

Mailing address

PO Box 1328
Durango, CO 81302-1328
Phone (970) 335-2342

Other practice location 1

475 Lewis St
Pagosa Springs, CO 81147
Phone (970) 335-2298

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
I20161207000534 CO Practitioner - Clinical Social Worker 8820378912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1125 Three Springs Blvd
Durango, CO 81301-9033
Phone (970) 403-0180

150 Mercury Village Dr
Durango, CO 81301-8955
Phone (970) 335-2422

1970 E 3Rd Ave
Lowr Level
Durango, CO 81301-5049
Phone (970) 335-2288

495 W 4TH St
Dove Creek, CO 81324-4900
Phone (970) 677-2291

52 Village Dr
Pagosa Springs, CO 81147-8368
Phone (970) 264-2104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSW.0009920679COMDSocial Worker
CSW.09924456COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Colorado Mental Health Center, Inc CurrentSince Sep 21, 2016 Accepting new patients
Southwest Colorado Mental Health Center Inc CurrentSince Sep 21, 2016 Accepting new patients
Southwest Colorado Mental Health Center, Inc Past Accepting new patients
Southwest Colorado Mental Health Center, Inc Past Accepting new patients

Locations

495 W 4th St
Dove Creek, CO 81324
Phone (970) 677-2291

1125 Three Springs Blvd
Durango, CO 81301
Phone (970) 403-0180

150 Mercury Village Dr
Durango, CO 81301
Phone (970) 335-2342

1970 E 3rd Ave
Ste 1
Durango, CO 81301
Phone (970) 335-2288

300 N Cascade Ave
Ste A
Montrose, CO 81401
Phone (970) 252-3203

Interoperability endpoints

  • Direct secure messaging: jeremiah.scott.p1@direct.ahs.nextgenshare.com

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": "1422316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1134519317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1328",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813021328",
            "telephone_number": "970-335-2342",
            "fax_number": "970-335-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MERCURY VILLAGE DR",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813018955",
            "telephone_number": "970-335-2342",
            "fax_number": "970-335-2438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Lewis St",
            "address_purpose": "LOCATION",
            "city": "Pagosa Springs",
            "state": "CO",
            "postal_code": "81147",
            "country_code": "US",
            "telephone_number": "970-335-2298",
            "fax_number": "970-264-2108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JEREMIAH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-27",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "LSW.0009920679",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09924456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.