Individual provider Active NPI

Rosalind Ann Pistilli, LISW, LCSW

  • Clinical Social Worker
  • Fort Collins, CO
National Provider Identifier
1376813931
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09925068 Issued in CO
Practice address
155 Boardwalk Dr Ste 400
Fort Collins, CO 80525-3040
Phone
(720) 900-4282
Fax
(720) 204-7253
NPI assigned
Jan 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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 I.1700335 OH
Clinical Social Worker 1041C0700X CSW.09925068 CO Primary

Addresses

Primary practice location

155 Boardwalk Dr Ste 400
Fort Collins, CO 80525-3040

Mailing address

155 Boardwalk Dr Ste 400
Fort Collins, CO 80525-3040
Phone (440) 789-9768

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
I20200109002383 CO Practitioner - Clinical Social Worker 0143655639 Practice locations: Northglenn, CO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11184 Huron St
Suite 10
Northglenn, CO 80234-3344
Phone (720) 900-4282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1700335OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Journey Clinical Psychiatry Ca PC Past Accepting new patients

Organizations & group practices 1

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": "1326326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1376813931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 BOARDWALK DR STE 400",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253040",
            "telephone_number": "440-789-9768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 BOARDWALK DR STE 400",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253040",
            "telephone_number": "720-900-4282",
            "fax_number": "720-204-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISTILLI",
        "first_name": "ROSALIND",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LISW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-12",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1700335",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09925068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.