Individual provider Active NPI

Faith Nielsen, CYT, MSW, LCSW

  • Clinical Social Worker
  • Fort Collins, CO
National Provider Identifier
1144821364
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09926941 Issued in CO
Practice address
812 McGraw Dr
Fort Collins, CO 80526-3977
Phone
(970) 556-6203
NPI assigned
Nov 4, 2020
Last updated
Nov 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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 CSW.09926941 CO Primary

Addresses

Primary practice location

812 McGraw Dr
Fort Collins, CO 80526-3977

Mailing address

812 McGraw Dr
Fort Collins, CO 80526-3977
Phone (970) 556-6203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.2404379OHMDCounselor
CSW.09926941COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Services of Northwest Ohio, Inc CurrentSince Oct 20, 2024 Accepting new patients
Five County Alcohol/Drug Program Serenity Haven PastSince Oct 20, 2024 Accepting new patients

Locations

511 Perry St
Defiance, OH 43512
Phone (419) 782-4933

25212 US Route 20
Fayette, OH 43521
Phone (419) 237-3103

118 E Clinton St
Napoleon, OH 43545
Phone (419) 599-7040

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/rsnwo/r4/

Organizations & group practices 3

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": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1144821364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 MCGRAW DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805263977",
            "telephone_number": "970-556-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 MCGRAW DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805263977",
            "telephone_number": "970-556-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "FAITH",
        "credential": "CYT, MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09926941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.