Individual provider Active NPI

Kristen Dingwall

  • Clinical Social Worker
  • Fort Collins, CO
National Provider Identifier
1912648106
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09928833 Issued in CO
Practice address
2625 Redwing Rd Ste 370
Fort Collins, CO 80526-6314
Phone
(303) 931-8813
NPI assigned
Apr 5, 2022
Last updated
Jan 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CO
Clinical Social Worker 1041C0700X 09928833 CO Primary

Addresses

Primary practice location

2625 Redwing Rd Ste 370
Fort Collins, CO 80526-6314

Mailing address

2625 Redwing Rd Ste 370
Fort Collins, CO 80526-6314
Phone (303) 931-8813

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
I20250917000010 CO Practitioner - Clinical Social Worker 9638673353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2625 Redwing Rd
Suite 370
Fort Collins, CO 80526-2804

33 Willow Glen CT
Stafford, VA 22554-8208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09928833COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Two Rivers Therapy & Consulting Clinical CurrentSince Aug 1, 2025 Accepting new patients

Locations

2625 Redwing Rd
Ste 370
Fort Collins, CO 80526
Phone (870) 829-0761

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": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1912648106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 REDWING RD STE 370",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266314",
            "telephone_number": "303-931-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 REDWING RD STE 370",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266314",
            "telephone_number": "303-931-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINGWALL",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09928833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.