Individual provider Active NPI

Meredith Rachel Leigh Kucyk, LCSW, LSWAIC, ADDC

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1336884147
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09933389 Issued in CO
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

Updated by the provider on Jul 3, 2026

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 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 Former 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

State licenses

LicenseStateTypeSpecialty
ADDC.0000274COMDAddiction (Substance Use Disorder) Counselor
LSW.0009924574COMDClinical 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.

Verify at the official NPI Registry.