Individual provider Active NPI

Wendy Brumley Lee, LCSW, LAC

  • Clinical Social Worker
  • Ft. Collins, CO
National Provider Identifier
1356535975
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1309 Issued in CO
Practice address
1644 S. College Avenue
Ft. Collins, CO 80521
Phone
(970) 221-0550
Fax
(970) 221-5402
NPI assigned
Aug 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2023

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 1309 CO Primary

Addresses

Primary practice location

1644 S. College Avenue
Ft. Collins, CO 80521

Mailing address

1644 S College Ave
Fort Collins, CO 80525-1007
Phone (970) 221-0999

Other practice location 1

1644 S College Ave
Fort Collins, CO 80525-1007
Phone (970) 221-0999

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
I20100327000394 CO Practitioner - Clinical Social Worker 5395871453 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1309COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Point Center for Youth and Family Development, Inc. Clinical CurrentSince Sep 17, 2024 Accepting new patients
Turning Point Center for Youth & Family Development, Inc Community Based Residential Treatment Facility, Mental Illness CurrentSince Mar 1, 2005 Accepting new patients
Turning Point Center for Youth and Family Development Inc. Community Based Residential Treatment Facility, Mental Illness Past Accepting new patients

Locations

1644 S College Ave
Fort Collins, CO 80525
Phone (970) 221-0999

815 W Platte Ave
Fort Morgan, CO 80701

913 11th Ave
Greeley, CO 80631
Phone (970) 221-0999

120 Main St
Sterling, CO 80751
Phone (970) 221-0999

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": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1356535975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1644 S COLLEGE AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251007",
            "telephone_number": "970-221-0999",
            "fax_number": "970-221-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1644 S. COLLEGE AVENUE",
            "city": "FT. COLLINS",
            "state": "CO",
            "postal_code": "80521",
            "telephone_number": "970-221-0550",
            "fax_number": "970-221-5402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1644 S College Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805251007",
            "country_code": "US",
            "telephone_number": "970-221-0999",
            "fax_number": "970-221-5272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "WENDY",
        "middle_name": "BRUMLEY",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "1309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft. Collins, CO

Sources for this page

Verify at the official NPI Registry.