Individual provider Active NPI

Cynthia Lee Wedel, LCSW

  • Clinical Social Worker
  • Longmont, CO
National Provider Identifier
1356486302
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW 480 Issued in CO
Practice address
529 Coffman St Ste 300
Longmont, CO 80501-5450
Phone
(303) 245-4426
Fax
(303) 245-4459
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LCSW 480 CO Primary

Addresses

Primary practice location

529 Coffman St Ste 300
Longmont, CO 80501-5450

Mailing address

200 Walnut St
Windsor, CO 80550-5140
Phone (970) 686-7843

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW 480COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kidstuff Child and Family Counseling, P.C. Clinical Past Accepting new patients
Kidstuff Child & Family Counseling, P.C. Past Accepting new patients
Kidstuff Child and Family Counseling, P.C. Clinical Past Accepting new patients
Kidstuff Child and Family Counseling, P.C. Clinical Past Accepting new patients

Organizations & group practices 4

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356486302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WALNUT ST",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805505140",
            "telephone_number": "970-686-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 COFFMAN ST STE 300",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805015450",
            "telephone_number": "303-245-4426",
            "fax_number": "303-245-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDEL",
        "first_name": "CYNTHIA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "LCSW 480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.