Individual provider Active NPI

Lindy Kay Wetzel, LCSW

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1487286670
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09926042 Issued in CO
Practice address
832 E Kiowa St Apt 1
Colorado Springs, CO 80903-3590
Phone
(719) 360-9045
NPI assigned
Feb 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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.09926042 CO Primary

Addresses

Primary practice location

832 E Kiowa St Apt 1
Colorado Springs, CO 80903-3590

Mailing address

832 E Kiowa St Apt 1
Colorado Springs, CO 80903-3590
Phone (719) 360-9045

Other names 1

  • Mrs. Lindy Kay Camarata 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
I20221227000522 CO Practitioner - Clinical Social Worker 6204206774 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

525 N Cascade Ave
Colorado Springs, CO 80903-3308
Phone (719) 360-9045

720 S Colorado Blvd
PH North
Denver, CO 80246-1904
Phone (844) 843-7279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Forward Journey Therapy LLC Clinical CurrentSince Jan 30, 2024 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Nov 8, 2022 Accepting new patients

Locations

525 N Cascade Ave
Colorado Springs, CO 80903
Phone (719) 360-9045

525 N Cascade Ave
Ste 205
Colorado Springs, CO 80903

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

Organizations & group practices 2

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": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1487286670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 E KIOWA ST APT 1",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033590",
            "telephone_number": "719-360-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 E KIOWA ST APT 1",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033590",
            "telephone_number": "719-360-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETZEL",
        "first_name": "LINDY",
        "middle_name": "KAY",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09926042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDY",
            "last_name": "CAMARATA",
            "middle_name": "KAY",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.