Organization · Type 2 NPI

Neurofeedback Clinic of Northern Colorado LLC

Clinical Social Worker · Fort Collins, CO

NPI number 1659794477 Active

Practice location

4115 Boardwalk Drive, Suite 100
Fort Collins, CO 80525-5945

Call (970) 493-4580 Map

Fax (970) 797-2859

Mailing address

4115 Boardwalk Dr, Suite 100
Fort Collins, CO 80525-5945

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X12332 (CO)
Clinical Social Worker Primary 1041C0700X9923938 (CO)
Marriage & Family Therapist 106H00000X974 (CO)
Marriage & Family Therapist 106H00000X983 (CO)

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 1659794477

Neurofeedback Clinic of Northern Colorado LLC's National Provider Identifier is 1659794477, issued on Jan 30, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Collins, CO. The record was last updated on May 30, 2025.