Individual provider Active NPI

Stephen Roderick Pyland, LCSW

  • Clinical Social Worker
  • Grand Junction, CO
National Provider Identifier
1679710461
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW-1898 Issued in CO
Practice address
2333 N 6TH St
Grand Junction, CO 81501-2001
Phone
(970) 298-1986
Fax
(970) 298-1726
NPI assigned
Jan 15, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2020

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 1177 KY
Clinical Social Worker 1041C0700X CSW-1898 CO Primary

Addresses

Primary practice location

2333 N 6TH St
Grand Junction, CO 81501-2001

Mailing address

2333 N 6TH St
Grand Junction, CO 81501-2001
Phone (970) 298-1986

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
I20150521000111 CO Practitioner - Clinical Social Worker 1052331915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marillac Clinic, Inc.Group PAC ID 1052634748, 19 clinicians

Practice addresses (Care Compare)

526 29
Grand Junction, CO 81504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW-1898COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Marillac Clinic, Inc. CurrentSince Mar 14, 2015 Accepting new patients
Marillac Clinic, Inc. CurrentSince Mar 14, 2015 Accepting new patients
Marillac Clinic, Inc Past Accepting new patients

Locations

2139 N 12th St
Grand Junction, CO 81501
Phone (970) 256-8449

2333 N 6th St
Grand Junction, CO 81501
Phone (970) 298-1782

Organizations & group practices 3

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": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1679710461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 N 6TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012001",
            "telephone_number": "970-298-1986",
            "fax_number": "970-298-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 N 6TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012001",
            "telephone_number": "970-298-1986",
            "fax_number": "970-298-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYLAND",
        "first_name": "STEPHEN",
        "middle_name": "RODERICK",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-15",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "1177",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW-1898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.