Cristi Anne Wilson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

09925388 Issued in CO

Practice address

1113 E Main St
Montrose, CO 81401-4043

Phone

(970) 765-7734

NPI assigned

May 9, 2018

Last updated

Jan 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Heart Space LLC

  • Clinical Social Worker
  • Montrose, CO
  • NPI 1013493980
  NPD Authorized official

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1891284378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 E MAIN ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014043",
            "telephone_number": "970-765-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 E MAIN ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014043",
            "telephone_number": "970-765-7734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "380 Sherman St",
            "address_purpose": "LOCATION",
            "city": "Ridgway",
            "state": "CO",
            "postal_code": "814325055",
            "country_code": "US",
            "telephone_number": "970-765-7734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CRISTI",
        "middle_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09925388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josh Tyler Williams, D.P.T.
• Kristin Michelle Williams
• Ryan Christopher Williams, PT, DPT
• Therese Rene Williams, RN
• Abraham James Wilson, O.D.
• Della Sawyer Wilson, LPC
• Jenna Wilson
• Kerry G Wilson, MSPT
• Daniel Carl Windels
• Louis H Winkler III, MD

• Clinical Social Worker in Montrose, CO
• Providers in Montrose, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.