Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Clinical Social Worker · Pueblo, CO

NPI number 1225847460 Active

Practice location

400 W 16th St
Pueblo, CO 81003-2745

Fax (719) 595-7994

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed
Anesthesiology Physician 207L00000XNone listed
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002XNone listed
Hospitalist Physician 208M00000XNone listed
Emergency Care Clinic/Center 261QE0002XNone listed
Neonatal Nurse Practitioner 363LN0000XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1225847460

Poudre Valley Medical Group, LLC's National Provider Identifier is 1225847460, issued on Jan 2, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pueblo, CO. The record was last updated on Apr 21, 2025.