Individual provider Active NPI

Ryan Nicholas Scarborough, LCSW

  • Clinical Social Worker
  • Fort Collins, CO
National Provider Identifier
1366635401
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
705 Issued in CO
Practice address
1507 Riverside Ave Unit 200
Fort Collins, CO 80524-4383
Phone
(970) 590-5454
NPI assigned
Aug 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 705 CO Primary

Addresses

Primary practice location

1507 Riverside Ave Unit 200
Fort Collins, CO 80524-4383

Mailing address

1507 Riverside Ave.
Suite 200
Ft Collins, CO 80524
Phone (970) 590-5454

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
I20250710004222 CO Practitioner - Clinical Social Worker 9133634033 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
705COMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
R. N. Scarborough, Psychotherapy Clinical CurrentSince Jul 24, 2022 Accepting new patients
Turning Point Center for Youth and Family Development, Inc. Clinical Current Accepting new patients
Turning Point Center for Youth & Family Development, Inc CurrentSince May 1, 2025 Accepting new patients

Locations

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

1507 Riverside Ave
Unit 200
Fort Collins, CO 80524
Phone (970) 590-5454

913 11th Ave
Greeley, CO 80631
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": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1366635401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 RIVERSIDE AVE.",
            "address_2": "SUITE 200",
            "city": "FT COLLINS",
            "state": "CO",
            "postal_code": "80524",
            "telephone_number": "970-590-5454",
            "fax_number": "970-493-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 RIVERSIDE AVE UNIT 200",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244383",
            "telephone_number": "970-590-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARBOROUGH",
        "first_name": "RYAN",
        "middle_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.