Individual provider Active NPI

Terry J. Pasquin, M.S.W.

  • Clinical Social Worker
  • Fort Collins, CO
National Provider Identifier
1144378324
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
989185 Issued in CO
Practice address
760 Whalers Way
C-200
Fort Collins, CO 80525-3370
Phone
(970) 495-4855
Fax
(970) 204-7883
NPI assigned
Jan 6, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 989185 CO Primary

Addresses

Primary practice location

760 Whalers Way
C-200
Fort Collins, CO 80525-3370

Mailing address

760 Whalers Way
C-200
Fort Collins, CO 80525-3370
Phone (970) 495-4855

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
I20241124000136 CO Practitioner - Clinical Social Worker 4880129105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3711 JFK Pkwy
Suite 310
Fort Collins, CO 80525-2658
Phone (970) 422-7260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
989185COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Therapy Group of Colorado, P.C. CurrentSince Nov 15, 2024 Accepting new patients
Mindful Therapy Group of Colorado, PC Clinical CurrentSince Nov 15, 2024 Accepting new patients

Locations

8490 E Crescent Pkwy
Ste 200
Greenwood Village, CO 80111
Phone (720) 316-6434

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144378324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 WHALERS WAY",
            "address_2": "C-200",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253370",
            "telephone_number": "970-495-4855",
            "fax_number": "970-204-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 WHALERS WAY",
            "address_2": "C-200",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253370",
            "telephone_number": "970-495-4855",
            "fax_number": "970-204-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASQUIN",
        "first_name": "TERRY",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "989185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.