Lynae R Ellgen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.09923533 Issued in CO

Practice address

1040 Alta Vista Dr
Craig, CO 81625

Phone

(970) 326-8138

NPI assigned

May 23, 2007

Last updated

Nov 1, 2024By 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 2

Addresses

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

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.

• The Memorial Hospital

  dba Memorial Regional Health

  • Critical Access Hospital
  • Craig, CO
  • NPI 1063418424
  Medicare reassignment NPD
• The Memorial Hospital

  dba Memorial Regional Health

  • Land Ambulance
  • Craig, CO
  • NPI 1669288809
  NPD

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1235349747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 ALTA VISTA DR",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816253225",
            "telephone_number": "970-326-8138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 ALTA VISTA DR",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "81625",
            "telephone_number": "970-326-8138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Hospital Loop",
            "address_purpose": "LOCATION",
            "city": "Craig",
            "state": "CO",
            "postal_code": "816258750",
            "country_code": "US",
            "telephone_number": "970-824-9411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLGEN",
        "first_name": "LYNAE",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2024-11-01",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09923533",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "LSW 177",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastern Rio Blanco County Health Service District (Colorado Advanced Orthopedics Clinic)
• Eastern Rio Blanco County Health Service District (Colorado Advanced Orthopedics Physical Therapy)
• Craig T. Eckroth, O.D.
• Brian P Edwards, D.M.D.
• Elevated Technologies LLC
• Jimmy Scott Ellis, D.O.
• Jona M Ely, NP
• Laurie Engelhardt, RPH
• Exquisite Cleaners Colorado LLC
• Eyecare Specialties Inc.

• Clinical Social Worker in Craig, CO
• Providers in Craig, 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 Nov 1, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.