Edeltraud Archinger, LCSW
Individual provider Active NPI Clinical Social Worker · Berthoud, CO
NPI 1750700985 · NPPES record last updated Jul 29, 2021
Key facts
- NPI
- 1750700985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CSW.09924176 (CO)
- Practice address
- 328 Massachusetts Ave
Berthoud, CO 80513-5003 - Phone
- (303) 847-9683
- NPI assigned
- Apr 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
720 W 5TH St
Walsenburg, CO 81089-1926
Phone (303) 847-9683
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180723002332 | CO | Practitioner - Clinical Social Worker | 2567719735 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW.09924176 | CO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Clinical | Current |
Accepting new patients |
| Healingthebeing | Current |
Accepting new patients |
Locations
328 Massachusetts Ave
Berthoud, CO 80513
Phone (303) 847-9683
720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW.09924176 | CO | Yes |
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
328 Massachusetts Ave
Berthoud, CO 80513-5003
Mailing address
PO Box 1273
Berthoud, CO 80513-2273
Phone (303) 847-9683
Other practice location 1
1644 South College AVE
Fort Collins, CO 80525
Phone (303) 847-9683
Other providers in Berthoud, CO
- Appleleaf Assisted Living Inc..
- Ross W Armour
- Tracey Ashcraft
- Judi Lynn Ashley
- Azure Care LLC
- Vicki Baker
All providers in Berthoud, CO · Clinical Social Worker in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.