Individual provider Active NPI

Cynthia D Derrera, MSW, LCSW

  • Clinical Social Worker
  • Greeley, CO
National Provider Identifier
1528434693
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09930183 Issued in CO
Practice address
1309 10TH Ave
Greeley, CO 80631-3832
Phone
(970) 347-2440
NPI assigned
Aug 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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.09930183 CO Primary

Addresses

Primary practice location

1309 10TH Ave
Greeley, CO 80631-3832

Mailing address

1300 N 17TH Ave
Greeley, CO 80631-9584
Phone (970) 347-2120

Other practice location 1

1250 N Wilson Ave
Loveland, CO 80537-4461
Phone (970) 494-4200

Other names 1

  • Sinthea Derrera Other 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
I20241210003155 CO Practitioner - Clinical Social Worker 3173059466 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summitstone Health PartnersGroup PAC ID 4284527144, 116 clinicians
North Range Behavioral HealthGroup PAC ID 1951299486, 20 clinicians

Practice addresses (Care Compare)

1250 N Wilson Ave
Loveland, CO 80537-4461
Phone (970) 494-4200

1306 11TH Ave
Greeley, CO 80631-3835
Phone (970) 347-2120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Range Behavioral Health Current Accepting new patients
North Range Behavioral Health CurrentSince Nov 18, 2024 Accepting new patients
North Range Behavioral Health CurrentSince Nov 18, 2024 Accepting new patients
North Range Behavioral Health Past Accepting new patients

Locations

1309 10th Ave
Greeley, CO 80631
Phone (970) 313-1184

1306 11th Ave
Greeley, CO 80631
Phone (970) 347-2125

1407 8th Ave
Greeley, CO 80631
Phone (970) 347-2121

1300 N 17th Ave
Greeley, CO 80631
Phone (970) 475-6016

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1528434693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N 17TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806319584",
            "telephone_number": "970-347-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 10TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806313832",
            "telephone_number": "970-347-2440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 N Wilson Ave",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805374461",
            "country_code": "US",
            "telephone_number": "970-494-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DERRERA",
        "first_name": "CYNTHIA",
        "middle_name": "D",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09930183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SINTHEA",
            "last_name": "DERRERA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.