Individual provider Active NPI

Randi Losalu, MSW, LCSW

  • Clinical Social Worker
  • Fort Collins, CO
National Provider Identifier
1598243156
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW--1316 Issued in WY
Practice address
2550 Stover St
Fort Collins, CO 80525-4641
Phone
(303) 222-3042
NPI assigned
Aug 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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 1598243156 CO
Clinical Social Worker 1041C0700X LCSW--1316 WY Primary

Addresses

Primary practice location

2550 Stover St
Fort Collins, CO 80525-4641

Mailing address

4025 Rawlins St
Cheyenne, WY 82001-1900
Phone (307) 426-4797

Other practice location 1

4025 Rawlins St
Cheyenne, WY 82001-1900
Phone (307) 426-4797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210325002095 WY Practitioner - Clinical Social Worker 3072920628 Reassigns benefits to 1 organization
I20210503000835 CO Practitioner - Clinical Social Worker 3072920628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Counseling and ConsultingGroup PAC ID 8921311911, 14 clinicians

Practice addresses (Care Compare)

2550 Stover St
BLDG C
Fort Collins, CO 80525-4641
Phone (970) 942-3031

4025 Rawlins St
Cheyenne, WY 82001-1900
Phone (307) 426-4797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1598243156COMDClinical Social Worker
LCSW--1316WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Counseling & Consulting CurrentSince Mar 1, 2021 Accepting new patients
Specialty Counseling and Consulting Clinical PastSince May 1, 2022 Accepting new patients

Locations

2550 Stover St
Bldg C
Fort Collins, CO 80525
Phone (307) 426-4798

4025 Rawlins St
Cheyenne, WY 82001
Phone (307) 426-4797

975 Gilchrist St
Wheatland, WY 82201
Phone (307) 222-3042

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": "1533427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1598243156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 RAWLINS ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820011900",
            "telephone_number": "307-426-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 STOVER ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254641",
            "telephone_number": "303-222-3042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4025 Rawlins St",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820011900",
            "country_code": "US",
            "telephone_number": "307-426-4797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOSALU",
        "first_name": "RANDI",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-05",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "1598243156",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW--1316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.