Individual provider Active NPI

Stephanie Therese Welker, MSW, LCSW

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1346843034
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW09925895 Issued in CO
Practice address
7665 Assisi HTS
Colorado Springs, CO 80919-3837
Phone
(719) 955-7008
NPI assigned
Nov 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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 CSW09925895 CO Primary

Addresses

Primary practice location

7665 Assisi HTS
Colorado Springs, CO 80919-3837

Mailing address

4620 Redstone Ridge Rd
Monument, CO 80132-8265
Phone (561) 818-8031

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
I20201230000875 CO Practitioner - Clinical Social Worker 5193138618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

720 S Colorado Blvd
PH North
Denver, CO 80246-1904
Phone (844) 843-7279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW09925895COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Colorado Clinical Current Accepting new patients
Franciscan Community Counseling, Inc. Clinical CurrentSince Feb 7, 2021 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Dec 6, 2021 Accepting new patients

Locations

7665 Assisi Hts
Colorado Springs, CO 80919
Phone (719) 598-5486

957 E Colorado Ave
Colorado Springs, CO 80903
Phone (719) 955-7008

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

Interoperability endpoints

  • Direct secure messaging: swelker255344@direct.childrenscolorado.org

Organizations & group practices 3

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": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1346843034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 REDSTONE RIDGE RD",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801328265",
            "telephone_number": "561-818-8031",
            "fax_number": "719-481-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7665 ASSISI HTS",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809193837",
            "telephone_number": "719-955-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELKER",
        "first_name": "STEPHANIE",
        "middle_name": "THERESE",
        "credential": "MSW,  LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW09925895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.