Individual provider Active NPI

Victoria Spenser-Nicholas Grey, LCSW

  • Clinical Social Worker
  • Fort Collins, CO
National Provider Identifier
1295259950
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09927527 Issued in CO
Practice address
425 W Mulberry St Ste 107
Fort Collins, CO 80521-2864
Phone
(720) 365-4497
NPI assigned
Aug 2, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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.09927527 CO Primary

Addresses

Primary practice location

425 W Mulberry St Ste 107
Fort Collins, CO 80521-2864

Mailing address

425 W Mulberry St Ste 107
Fort Collins, CO 80521-2864
Phone (720) 365-4497

Other practice location 1

2840 29th St Apt 201
Boulder, CO 80301-1285
Phone (720) 365-4497

Other practice location 2

2620 S Parker Rd Ste 185
Aurora, CO 80014-1626
Phone (720) 347-8559

Other names 1

  • Spenser Nicholas Raymond Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210907000728 CO Practitioner - Clinical Social Worker 6305242058 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rainbow Flame Collaborative Clinical CurrentSince Jul 1, 2022 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Aug 30, 2021 Accepting new patients

Locations

425 W Mulberry St
Ste 107
Fort Collins, CO 80521
Phone (720) 900-5898

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

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, 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": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1295259950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W MULBERRY ST STE 107",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805212864",
            "telephone_number": "720-365-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W MULBERRY ST STE 107",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805212864",
            "telephone_number": "720-365-4497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2840 29th St Apt 201",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803011285",
            "country_code": "US",
            "telephone_number": "720-365-4497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2620 S Parker Rd Ste 185",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800141626",
            "country_code": "US",
            "telephone_number": "720-347-8559",
            "fax_number": "720-207-6885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREY",
        "first_name": "VICTORIA",
        "middle_name": "SPENSER-NICHOLAS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-02",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09927527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SPENSER",
            "last_name": "RAYMOND",
            "middle_name": "NICHOLAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.