Individual provider Active NPI

Michele Marie Frederick, LCSW

  • Clinical Social Worker
  • Durango, CO
National Provider Identifier
1891247243
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09928065 Issued in CO
Practice address
1125 Three Springs Blvd
Durango, CO 81301-9033
Phone
(970) 403-0180
Fax
(970) 403-0190
NPI assigned
Nov 2, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

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
I20220823002429 CO Practitioner - Clinical Social Worker 3870976970 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Colorado Mental Health Center, Inc CurrentSince Aug 2, 2022 Accepting new patients
Southwest Colorado Mental Health Center Inc CurrentSince Aug 2, 2022 Accepting new patients
Southwest Colorado Mental Health Center, Inc Past Accepting new patients
Southwest Colorado Mental Health Center, Inc Past Accepting new patients

Locations

107 W 11th St
Delta, CO 81416
Phone (970) 874-8981

495 W 4th St
Dove Creek, CO 81324
Phone (970) 677-2291

281 Sawyer Dr
Ste 100
Durango, CO 81303
Phone (970) 259-2162

1125 Three Springs Blvd
Durango, CO 81301
Phone (970) 403-0180

150 Mercury Village Dr
Durango, CO 81301
Phone (970) 335-2342

1970 E 3rd Ave
Ste 1
Durango, CO 81301
Phone (970) 335-2288

605 Miami Rd
Montrose, CO 81401
Phone (970) 249-9694

300 N Cascade Ave
Ste A
Montrose, CO 81401
Phone (970) 252-3203

Interoperability endpoints

  • Direct secure messaging: michele.frederick.p1@direct.ahs.nextgenshare.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09928065 CO Primary

Addresses

NPPES NPI Registry

Primary practice location

1125 Three Springs Blvd
Durango, CO 81301-9033

Mailing address

150 Mercury Village Dr
Durango, CO 81301-8955
Phone (970) 335-2238

Other names 1

NPPES NPI Registry
  • Michele Murray Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 9, 2026.

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1891247243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MERCURY VILLAGE DR",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813018955",
            "telephone_number": "970-335-2238",
            "fax_number": "970-335-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 THREE SPRINGS BLVD",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813019033",
            "telephone_number": "970-403-0180",
            "fax_number": "970-403-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "MICHELE",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-02",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09928065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "MURRAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.