Active NPI
Amelie J Gallegos, LSW
- Clinical Social Worker
- Fort Collins, CO
National Provider Identifier
1760209589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.09933655
- Practice address
- 1600 Specht Point Rd # 130
Fort Collins, CO 80525-4311 - Phone
- (970) 494-5891
- Fax
- (970) 494-5895
- NPI assigned
- Sep 23, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW.09933655 | CO | Primary |
| Social Worker | 104100000X | LSW.0009925554 | CO |
Addresses
Primary practice location
1600 Specht Point Rd # 130
Fort Collins, CO 80525-4311
Mailing address
10100 Elida Rd
Delphos, OH 45833-9056
Phone (419) 695-8010
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.0009925554 | CO | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1760209589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10100 ELIDA RD",
"city": "DELPHOS",
"state": "OH",
"postal_code": "458339056",
"telephone_number": "419-695-8010",
"fax_number": "419-695-0004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SPECHT POINT RD # 130",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805254311",
"telephone_number": "970-494-5891",
"fax_number": "970-494-5895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLEGOS",
"first_name": "AMELIE",
"middle_name": "J",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-23",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09933655",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CO",
"license": "LSW.0009925554",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.