Individual provider Active NPI

Nancy Marie McKelvey, LCSW

  • Clinical Social Worker
  • Fort Collins, CO
National Provider Identifier
1811033251
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
373 Issued in CO
Practice address
149 W Harvard St Ste 201
Fort Collins, CO 80525-2186
Phone
(970) 484-3009
Fax
(970) 482-0382
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 373 CO Primary

Addresses

Primary practice location

149 W Harvard St Ste 201
Fort Collins, CO 80525-2186

Mailing address

149 W Harvard St Ste 201
Fort Collins, CO 80525-2186
Phone (970) 484-3009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050920000598 CO Practitioner - Clinical Social Worker 7517991532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

363 W Drake Rd
Fort Collins, CO 80526-6323
Phone (970) 484-3009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
373COMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuropsychological Consults of Northern Colorado LLC PastSince Dec 9, 2008 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1811033251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 W HARVARD ST STE 201",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252186",
            "telephone_number": "970-484-3009",
            "fax_number": "970-482-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 W HARVARD ST STE 201",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252186",
            "telephone_number": "970-484-3009",
            "fax_number": "970-482-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKELVEY",
        "first_name": "NANCY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.