Individual provider Active NPI

Kelly Lenn Yeldell

  • Clinical Social Worker
  • Windsor, CO
National Provider Identifier
1366676249
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09925697 Issued in CO
Practice address
1681 Clarendon Dr
Windsor, CO 80550-2887
Phone
(202) 821-6819
NPI assigned
May 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 09925697 CO Primary
School Social Worker 1041S0200X LG50078850 DC

Addresses

Primary practice location

1681 Clarendon Dr
Windsor, CO 80550-2887

Mailing address

1681 Clarendon Dr
Windsor, CO 80550-2887

Other names 1

  • Kelly Lenn Yeldell Former name

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
I20210302000357 CO Practitioner - Clinical Social Worker 9638585599 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

760 C Whalers Way
Suite 100
Fort Collins, CO 80525-3314
Phone (970) 430-6127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09925697COMDClinical Social Worker
LG50078850DCMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly Counseling Services, LLC Clinical CurrentSince Jun 16, 2024 Accepting new patients
Poudre Valley Medical Group, LLC Current Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Nov 22, 2021 Accepting new patients
Lighthouse Family Therapy Prof LLC Clinical CurrentSince Jul 22, 2023 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Sep 12, 2021 Accepting new patients
Lighthouse Family Therapy Prof LLC Past Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

1330 Oakridge Dr
Unit 105
Fort Collins, CO 80525
Phone (970) 232-5457

1024 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 495-7000

760 Whalers Way
Ste 100
Fort Collins, CO 80525
Phone (720) 778-0761

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

2500 Rocky Mountain Ave
Loveland, CO 80538
Phone (970) 297-6425

110 Traders Cross
Okatie, SC 29909
Phone (602) 675-0335

Organizations & group practices 6

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": "1241654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1366676249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1681 CLARENDON DR",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805502887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1681 CLARENDON DR",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805502887",
            "telephone_number": "202-821-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENN YELDELL",
        "first_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-07",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09925697",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "DC",
            "license": "LG50078850",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "LENN YELDELL",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Windsor, CO

Sources for this page

Verify at the official NPI Registry.