PRUDENCIO COSYLEON LCSW
NPI 1083775498
Social Worker - Clinical in Pueblo, CO

Q: What is Prudencio Cosyleon's NPI number?

The NPI number for Prudencio Cosyleon is 1083775498. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Q: What is Prudencio Cosyleon's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since December 12, 2006PECOS Enrolled

1301 E 7TH ST, PUEBLO, CO 81001(719) 543-8711(719) 543-0171 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 7, 2026, Mar 14, 2016 (2 updates tracked since 2016).

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About Prudencio Cosyleon Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRUDENCIO COSYLEON LCSW (NPI 1083775498) is an individual clinical provider in Pueblo, Colorado, licensed in Colorado (CSW.00991432) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083775498

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NamePRUDENCIO COSYLEONCredential: LCSW

Location Address1301 E 7TH STPueblo, CO 81001-3508

Mailing Address110 E Routt AvePueblo, CO 81004-2117 · (719) 543-8711 · Fax (719) 543-0171

Phone(719) 543-8711

Fax(719) 543-0171

Sole ProprietorNo

Enumeration DateDecember 12, 2006

Last NPPES UpdateMay 7, 20262 updates tracked since enumeration

NPPES CertifiedMay 7, 2026

✔ NPI 1083775498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CO · CSW.00991432

Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1301 E 7TH ST, Pueblo, CO 81001

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Other Identifiers 1

Medicaid02259800CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prudencio Cosyleon Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Prudencio Cosyleon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pueblo Community Health Center Inc

2.2 mi

Federally Qualified Health Center (FQHC)

300 COLORADO AVE
Pueblo, CO 81004

Reassigned Medicare billing, Colorado enrollment
137 clinicians in this Medicare group

NPI 1770529950 (719) 543-8711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $58.06 – $174.82

Typical copayment $0.00 (range $14.51 – $43.70)

Most-billed visit code NA

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAMARA TAIBI MSW

Case Manager/Care Coordinator