Individual provider Active NPI

Rachel Wisdom-Vidal, MSW

  • Clinical Social Worker
  • Greeley, CO
National Provider Identifier
1285822536
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
315 N 11TH Ave BLDG a
Greeley, CO 80631-2014
Phone
(970) 400-6765
NPI assigned
Oct 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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 CO Primary

Addresses

Primary practice location

315 N 11TH Ave BLDG a
Greeley, CO 80631-2014

Mailing address

5397 School House Dr
Timnath, CO 80547-2305
Phone (970) 218-0824

Other names 1

  • Rachel Wisdom Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Weld Board of County Commissioners CurrentSince Jun 15, 2025 Accepting new patients
Weld County Department of Human Services PastSince Aug 7, 2022 Accepting new patients

Locations

315 N 11th Ave
Bldg A
Greeley, CO 80631
Phone (970) 400-6765

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1285822536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5397 SCHOOL HOUSE DR",
            "city": "TIMNATH",
            "state": "CO",
            "postal_code": "805472305",
            "telephone_number": "970-218-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N 11TH AVE BLDG A",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806312014",
            "telephone_number": "970-400-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISDOM-VIDAL",
        "first_name": "RACHEL",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "WISDOM",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.