Individual provider Active NPI

Kaylee A Peterson, SWC

  • Clinical Social Worker
  • Glenwood Springs, CO
National Provider Identifier
1689437063
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09932638 Issued in CO
Practice address
1905 Blake Ave Ste 201
Glenwood Springs, CO 81601-4286
Phone
(970) 384-6728
Fax
(970) 947-9226
NPI assigned
Jan 30, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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.09932638 CO Primary

Addresses

Primary practice location

1905 Blake Ave Ste 201
Glenwood Springs, CO 81601-4286

Mailing address

1905 Blake Ave Ste 201
Glenwood Springs, CO 81601-4286
Phone (970) 384-6728

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

LicenseStateTypeSpecialty
CSW.09932638COMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1689437063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 BLAKE AVE STE 201",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014286",
            "telephone_number": "970-384-6728",
            "fax_number": "970-947-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 BLAKE AVE STE 201",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014286",
            "telephone_number": "970-384-6728",
            "fax_number": "970-947-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "KAYLEE",
        "middle_name": "A",
        "credential": "SWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-30",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09932638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.