Active NPI
Fred Gagliardi, MSW
- Clinical Social Worker
- Pueblo, CO
National Provider Identifier
1720054851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 992290
- Practice address
- 4112 Outlook Blvd
Pueblo, CO 81008-1667 - Phone
- (719) 553-1081
- Fax
- (719) 553-1107
- NPI assigned
- Feb 28, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 992290 | CO | Primary |
Addresses
Primary practice location
4112 Outlook Blvd
Pueblo, CO 81008-1667
Mailing address
51 Verdosa Dr
Pueblo, CO 81005-2942
Phone (719) 561-1892
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 |
|---|---|---|---|
| 992290 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1720054851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 VERDOSA DR",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810052942",
"telephone_number": "719-561-1892",
"fax_number": "719-553-1107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4112 OUTLOOK BLVD",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810081667",
"telephone_number": "719-553-1081",
"fax_number": "719-553-1107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAGLIARDI",
"first_name": "FRED",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "992290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.