Individual provider Active NPI

Kylee J Carter, SWC

  • Clinical Social Worker
  • Pueblo, CO
National Provider Identifier
1306571211
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09930496 Issued in CO
Practice address
503 N Main St Ste 104LL
Pueblo, CO 81003-3179
Phone
(719) 691-5206
Fax
(719) 569-7974
NPI assigned
Jul 24, 2022
Last updated
May 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 09930496 CO Primary
Clinical Social Worker 1041C0700X 0000000708 CO

Addresses

Primary practice location

503 N Main St Ste 104LL
Pueblo, CO 81003-3179

Mailing address

503 N Main St Ste 104LL
Pueblo, CO 81003-3179
Phone (719) 691-5206

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address counseling@carecorner.org Direct

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
I20251203000736 CO Practitioner - Clinical Social Worker 9638662489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

503 N Main St
Pueblo, CO 81003-3179

PO Box
Suite 8101
Pueblo, CO 81008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000000708COMDClinical Social Worker
09930496COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carecorner Counseling LLC CurrentSince Aug 23, 2025 Accepting new patients

Locations

503 N Main St
Ste 104LL
Pueblo, CO 81003
Phone (719) 691-5206

Organizations & group practices 1

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": "1658620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1306571211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 N MAIN ST STE 104LL",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033179",
            "telephone_number": "719-691-5206",
            "fax_number": "719-569-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N MAIN ST STE 104LL",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033179",
            "telephone_number": "719-691-5206",
            "fax_number": "719-569-7974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "KYLEE",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "SWC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-24",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09930496",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "0000000708",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "counseling@carecorner.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure email",
            "address_1": "503 N Main St Ste 104Ll",
            "city": "Pueblo",
            "state": "CO",
            "country_code": "US",
            "postal_code": "810033179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.