Active NPI
Kelsey Leigh Walsh, SWC
- Clinical Social Worker
- Fort Collins, CO
National Provider Identifier
1821703042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SWC.0000001120
- Practice address
- 1217 Riverside Ave
Fort Collins, CO 80524-3218 - Phone
- (970) 494-4200
- NPI assigned
- Jan 23, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | SWC.0000001120 | CO | Primary |
Addresses
Primary practice location
1217 Riverside Ave
Fort Collins, CO 80524-3218
Mailing address
1217 Riverside Ave
Fort Collins, CO 80524-3218
Phone (719) 510-6885
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 |
|---|---|---|---|
| SWC.0000001120 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1821703042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1217 RIVERSIDE AVE",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805243218",
"telephone_number": "719-510-6885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1217 RIVERSIDE AVE",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805243218",
"telephone_number": "970-494-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "KELSEY",
"middle_name": "LEIGH",
"name_prefix": "Mrs.",
"credential": "SWC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-23",
"last_updated": "2023-01-23",
"certification_date": "2023-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "SWC.0000001120",
"primary": true
}
],
"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 Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.