Active NPI
Mary Kathryn Sweetser, LSW
- Social Worker
- Colorado Springs, CO
National Provider Identifier
1619860780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LSW.0009924986
- Practice address
- 7075 Campus Dr Ste 202
Colorado Springs, CO 80920-6524 - Phone
- (719) 888-6827
- Fax
- (719) 623-1149
- NPI assigned
- May 29, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LSW.0009924986 | CO | Primary |
Addresses
Primary practice location
7075 Campus Dr Ste 202
Colorado Springs, CO 80920-6524
Mailing address
4638 Newton Dr
Colorado Springs, CO 80916-3330
Phone (479) 422-7670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW.0009924986 | CO | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Polaris Wellness Group, PLLC | Social Worker | Current | Accepting new patients |
Locations
7075 Campus Dr
Ste 202
Colorado Springs, CO 80920
Phone (719) 888-6827
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": "1748476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748476800000",
"number": "1619860780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4638 NEWTON DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809163330",
"telephone_number": "479-422-7670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7075 CAMPUS DR STE 202",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809206524",
"telephone_number": "719-888-6827",
"fax_number": "719-623-1149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWEETSER",
"first_name": "MARY",
"middle_name": "KATHRYN",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-29",
"last_updated": "2025-05-29",
"certification_date": "2025-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CO",
"license": "LSW.0009924986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.