Individual provider Active NPI

Kristyn Joanne Duffy, MSW

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1366061046
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09927501 Issued in CO
Practice address
525 E Uintah St
Colorado Springs, CO 80903-2514
Phone
(719) 640-0044
Fax
(719) 634-8365
NPI assigned
Apr 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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 CSW.09927501 CO Primary

Addresses

Primary practice location

525 E Uintah St
Colorado Springs, CO 80903-2514

Mailing address

525 E Uintah St
Colorado Springs, CO 80903-2514

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
I20211026000243 CO Practitioner - Clinical Social Worker 0244628196 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rocksolid Care IncGroup PAC ID 0446625362, 5 clinicians

Practice addresses (Care Compare)

2116 Hollow Brook Dr
Suite 100
Colorado Springs, CO 80918-1443
Phone (719) 249-0984

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Vista Community Health Centers CurrentSince Oct 15, 2021 Accepting new patients
Rocksolid Care Inc. Clinical Current Accepting new patients
Rocksolid Care Inc. Clinical CurrentSince Mar 1, 2023 Accepting new patients
Life Works Counseling CurrentSince Nov 19, 2023 Accepting new patients
Peak Vista Community Health Centers CurrentSince Oct 15, 2021 Accepting new patients
Rocksolid Care Inc. Clinical CurrentSince Mar 1, 2023 Accepting new patients
Savio House, Inc. PastSince Apr 19, 2020 Accepting new patients

Locations

6985 Tutt Blvd
Ste 100
Colorado Springs, CO 80923
Phone (719) 332-4689

3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873

525 E Uintah St
Colorado Springs, CO 80903
Phone (303) 225-4100

320 E Fontanero St
Ste 301
Colorado Springs, CO 80907
Phone (719) 624-0594

2116 Hollow Brook Dr
Ste 100
Colorado Springs, CO 80918
Phone (719) 249-0984

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

Organizations & group practices 7

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": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1366061046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E UINTAH ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809032514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E UINTAH ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809032514",
            "telephone_number": "719-640-0044",
            "fax_number": "719-634-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFY",
        "first_name": "KRISTYN",
        "middle_name": "JOANNE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09927501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.