Individual provider Active NPI

Wiley Mills Wakeman, LCSW

  • Clinical Social Worker
  • Steamboat Springs, CO
National Provider Identifier
1881468858
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9932487 Issued in CO
Practice address
1475 Pine Grove Rd Ste 200
Steamboat Springs, CO 80487-8851
Phone
(970) 439-0078
NPI assigned
Nov 10, 2023
Last updated
Nov 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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 9932487 CO Primary

Addresses

Primary practice location

1475 Pine Grove Rd Ste 200
Steamboat Springs, CO 80487-8851

Mailing address

PO Box 772260
Steamboat Springs, CO 80477-2260
Phone (970) 439-0078

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
I20260128001961 CO Practitioner - Clinical Social Worker 0345728788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1475 Pine Grove Rd
Suite 200
Steamboat Springs, CO 80487-8851
Phone (970) 439-0078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9932487COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wiley Wakeman Discover Within LLC Clinical CurrentSince Nov 24, 2025 Accepting new patients

Locations

1475 Pine Grove Rd
Ste 200
Steamboat Springs, CO 80487
Phone (970) 439-0078

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1881468858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772260",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804772260",
            "telephone_number": "970-439-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 PINE GROVE RD STE 200",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804878851",
            "telephone_number": "970-439-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKEMAN",
        "first_name": "WILEY",
        "middle_name": "MILLS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-10",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "9932487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Steamboat Springs, CO

Sources for this page

Verify at the official NPI Registry.