Colleen K Sidhu, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW 511 Issued in WY

Practice address

608 E Harmony Rd Ste 302
Fort Collins, CO 80525-3210

Phone

(307) 751-5563

NPI assigned

Mar 22, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Colleen K Sidhu

  dba Colleen Sidhu LCSW

  • Clinical Social Worker
  • Fort Collins, CO
  • NPI 1336572130
  NPD Authorized official
• Sheridan Internal Medicine Associates, Inc.

  • Internal Medicine Physician
  • Sheridan, WY
  • NPI 1457673329
  NPD (past)

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1235198748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 CREEKWOOD CT",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252023",
            "telephone_number": "307-751-5563",
            "fax_number": "307-751-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 E HARMONY RD STE 302",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253210",
            "telephone_number": "307-751-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "COLLEEN",
        "middle_name": "K",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW 511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132048300",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audrey Shumate
• Pam Sica, M.A., LPC, ATR
• Abby Sickels
• Kourtney Sidener
• Kate Meredith Sidgwick, RD
• Lindsay Siebenaler, CRNA
• Tiffany M Siefken, LCSW/LISW
• Kimberly Lynne Siegel, MD
• Leah Beth Siegel, PA-C
• Linda Marie Siegrist, RN

• Clinical Social Worker in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.