Organization Active NPI

Curt Wiedey MSW LCSW PLLC

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1790359297
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CURT WIEDEY MSW LCSW PLLC
Practice address
3225 Templeton Gap Rd Ste 218
Colorado Springs, CO 80907-8714
Phone
(719) 633-4077
Fax
(719) 520-5976
NPI assigned
May 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Curt W Wiedey, LCSWNPI 1639220742
Title
Clinical Social Worker
Phone
(719) 633-4077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3225 Templeton Gap Rd Ste 218
Colorado Springs, CO 80907-8714

Mailing address

3225 Templeton Gap Rd Ste 218
Colorado Springs, CO 80907-8714
Phone (719) 633-4077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210603003354 CO Part B Supplier - Clinic/Group Practice 5496154809 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

1819 N Circle Dr
Ste 2A
Colorado Springs, CO 80909
Phone (719) 633-4077

3225 Templeton Gap Rd
Ste 218
Colorado Springs, CO 80907
Phone (719) 633-4077

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1790359297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 TEMPLETON GAP RD STE 218",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809078714",
            "telephone_number": "719-633-4077",
            "fax_number": "719-520-5976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 TEMPLETON GAP RD STE 218",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809078714",
            "telephone_number": "719-633-4077",
            "fax_number": "719-520-5976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURT WIEDEY MSW LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-18",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "WIEDEY",
        "authorized_official_first_name": "CURT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "719-633-4077",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.