Individual provider Active NPI

Renee Eileen Duricy, MSW, LCSW

  • Clinical Social Worker
  • Salida, CO
National Provider Identifier
1982718581
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.00001562 Issued in CO
Practice address
134 F St Ste 201
Salida, CO 81201-2160
Phone
(719) 257-3033
NPI assigned
Aug 19, 2006
Last updated
Jul 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 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 LC50081641 DC
Clinical Social Worker 1041C0700X CSW.00001562 CO Primary

Addresses

Primary practice location

134 F St Ste 201
Salida, CO 81201-2160

Mailing address

PO Box 1350
Salida, CO 81201-1350
Phone (719) 257-3033

Other names 1

  • Renee Eileen Labor Former 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
I20200611001733 CO Practitioner - Clinical Social Worker 1153681333

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9150 County Rd
Suite 240
Salida, CO 81201

9150 County Rd
Suite 240
Salida, CO 81201-9216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.00001562COMDClinical Social Worker
LC50081641DCMDClinical Social Worker

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1982718581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1350",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812011350",
            "telephone_number": "719-257-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 F ST STE 201",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812012160",
            "telephone_number": "719-257-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURICY",
        "first_name": "RENEE",
        "middle_name": "EILEEN",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50081641",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.00001562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "LABOR",
            "middle_name": "EILEEN",
            "credential": "MSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salida, CO

Sources for this page

Verify at the official NPI Registry.