Jennifer Lynn Wing, LCSW, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.09927626 Issued in CO

Practice address

1600 Specht Point Rd Ste 105
Fort Collins, CO 80525-4311

Phone

(970) 494-5891

Fax

(970) 494-5895

NPI assigned

Dec 19, 2018

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 names 1

• Jennifer Lynn Blohm Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Specialized Alternatives for Families and Youth of Colorado, Inc.

  dba SAFY of Colorado - Boulder

  • Case Management Agency
  • Fort Collins, CO
  • NPI 1164929550
  NPD (past)
• Specialized Alternatives for Families and Youth of Colorado, Inc.

  dba SAFY of Colorado - Fort Collins

  • Case Management Agency
  • Fort Collins, CO
  • NPI 1437517752
  NPD (past)

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1275005928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 ELIDA RD",
            "city": "DELPHOS",
            "state": "OH",
            "postal_code": "458339056",
            "telephone_number": "419-695-8010",
            "fax_number": "419-695-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SPECHT POINT RD STE 105",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254311",
            "telephone_number": "970-494-5891",
            "fax_number": "970-494-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WING",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "LCSW, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-19",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09927626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BLOHM",
            "middle_name": "LYNN",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Winds of Change Counseling, LLC
• Windsong Wellness Inc
• Windsor Dermatology, PLLC (Larsen Dermatology Institute)
• Michelle Marie Winemiller, MA, LMFT
• Amy A Wing, FNP-C
• Jeffry Charles Winkler, P.A.
• Merritt Winkler
• Diane Heather Winn-Clouse, MA LPC
• Laura Suzanne Winstead, M.D.
• Beverly Winter, NP

• 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 Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.