Brave Spaces Health and Wellness PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BRAVE SPACES HEALTH AND WELLNESS PLLC

Practice address

2120 S College Ave Ste 8
Fort Collins, CO 80525-1465

Phone

(970) 568-5882

NPI assigned

Jun 16, 2022

Last updated

Jun 16, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelsey WorflerNPI 1114472081

Title

Owner

Phone

(970) 568-5882

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelsey R Worfler, LCSW, LAC

  • Clinical Social Worker
  • Fort Collins, CO
  • NPI 1114472081
  NPD Authorized official

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1922738319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 SUNRISE AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805248441",
            "telephone_number": "970-568-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 S COLLEGE AVE STE 8",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251465",
            "telephone_number": "970-568-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVE SPACES HEALTH AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "WORFLER",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-568-5882"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Cameron Braun, MSPA, CCC-SLP
• Ashley Braund, LPC-S
• Paul Patrick Braunlin, PT
• Veoria Braunschweig
• Brave Roots Chiropractic
• Molly Kathryne Brayton, , BS, MASTERS INTERN
• Erin Elizabeth Brazzale, PA-C
• Break Free Recovery LLC
• Break the Mold Therapy
• Breathe PLLC

• Clinical Social Worker in Fort Collins, CO
• Providers in Fort Collins, 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 Jun 16, 2022; 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.