Individual provider Active NPI

Carolyn Mary McCann, LCSW

  • Clinical Social Worker
  • Longmont, CO
National Provider Identifier
1952159915
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09928755 Issued in CO
Practice address
903 Snowberry St
Longmont, CO 80503-9429
Phone
(908) 334-0100
NPI assigned
May 7, 2024
Last updated
Mar 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 09928755 CO Primary
Clinical Social Worker 1041C0700X 44SL06259200 NJ

Addresses

Primary practice location

903 Snowberry St
Longmont, CO 80503-9429

Mailing address

903 Snowberry St
Longmont, CO 80503-9429
Phone (908) 334-0100

Other names 1

  • Carolyn Mary Reynolds Professional name

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
I20240712002149 CO Practitioner - Clinical Social Worker 9234674300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sadari MedicalGroup PAC ID 0547503302, 12 clinicians

Practice addresses (Care Compare)

6000 E Evans Ave
Suite 1 341
Denver, CO 80222-5428
Phone (303) 946-5003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09928755COMDClinical Social Worker
44SL06259200NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sadari Medical CurrentSince Jun 1, 2024 Accepting new patients

Locations

6000 E Evans Ave
Ste 1-341
Denver, CO 80222
Phone (303) 946-5003

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": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1952159915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 SNOWBERRY ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805039429",
            "telephone_number": "908-334-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 SNOWBERRY ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805039429",
            "telephone_number": "908-334-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "CAROLYN",
        "middle_name": "MARY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-07",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09928755",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL06259200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "REYNOLDS",
            "middle_name": "MARY",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.