Active NPI
Meredith Rachel Leigh Kucyk, LCSW, LSWAIC, ADDC
- Clinical Social Worker
- Colorado Springs, CO
National Provider Identifier
1336884147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.09933389
- Practice address
- 2802 Country Club Cir
Colorado Springs, CO 80909-1017 - Phone
- (720) 237-7240
- NPI assigned
- May 5, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW.09933389 | CO | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ADDC.0000274 | CO |
Addresses
Primary practice location
2802 Country Club Cir
Colorado Springs, CO 80909-1017
Mailing address
2802 Country Club Cir
Colorado Springs, CO 80909-1017
Phone (719) 728-9148
Other names 1
- Ms. Meredith Rachel Leigh Bird
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ADDC.0000274 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| LSW.0009924574 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783036800000",
"number": "1336884147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2802 COUNTRY CLUB CIR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809091017",
"telephone_number": "719-728-9148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2802 COUNTRY CLUB CIR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809091017",
"telephone_number": "720-237-7240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUCYK",
"first_name": "MEREDITH",
"middle_name": "RACHEL LEIGH",
"name_prefix": "Mrs.",
"credential": "LCSW, LSWAIC, ADDC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-05",
"last_updated": "2026-07-03",
"certification_date": "2026-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09933389",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "ADDC.0000274",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEREDITH",
"last_name": "BIRD",
"middle_name": "RACHEL LEIGH",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.