Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Clinical Social Worker · Broomfield, CO

NPI number 1497357099 Active

Practice location

11820 Destination Dr
Broomfield, CO 80021-2518

Call (303) 464-4500 Map

Fax (303) 460-6197

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed
Cardiovascular Disease Physician 207RC0000XNone listed
General Practice Physician 208D00000XNone listed
Hospitalist Physician 208M00000XNone listed
Emergency Care Clinic/Center 261QE0002XNone 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 1497357099

Poudre Valley Medical Group, LLC's National Provider Identifier is 1497357099, issued on Nov 10, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Broomfield, CO. The record was last updated on Jul 31, 2024.