Individual provider Active NPI

Wendy Jean Carter, CSW

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1609163021
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09923190 Issued in CO
Practice address
1519 E Boulder St # D1
Colorado Springs, CO 80909-5663
Phone
(719) 331-3721
NPI assigned
Jul 6, 2011
Last updated
May 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 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.09923190 CO Primary

Addresses

Primary practice location

1519 E Boulder St # D1
Colorado Springs, CO 80909-5663

Mailing address

704 N Institute St
Colorado Springs, CO 80903-2853
Phone (719) 331-3721

Other identifiers 2

IdentifierTypeStateIssuer
CSW.09923190OtherCOPROFESSIONAL LICENSE
13577870OtherCOCAQH

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
I20150807014769 CO Practitioner - Clinical Social Worker 9133433857 Reassigns benefits to 1 organization
Practice locations: Canon City, CO; Pueblo, CO; Colorado Springs, CO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1519 E Boulder St
D1
Colorado Springs, CO 80909-5663
Phone (719) 331-3721

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of the Phoenix, LLC Clinical CurrentSince Sep 9, 2018 Accepting new patients

Locations

1422 N Hancock Ave
Ste 1S
Colorado Springs, CO 80903
Phone (719) 250-4495

1519 E Boulder St
#D1
Colorado Springs, CO 80909
Phone (719) 331-3721

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, 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": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1609163021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 N INSTITUTE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809032853",
            "telephone_number": "719-331-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 E BOULDER ST # D1",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095663",
            "telephone_number": "719-331-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "WENDY",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09923190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "CSW.09923190",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13577870",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.