POUDRE VALLEY MEDICAL GROUP, LLC
NPI 1225847460
Social Worker - Clinical in Pueblo, CO
NPI Status: Active since January 02, 2025
Contact Information
400 W 16TH ST
PUEBLO, CO
ZIP 81003
Phone: (719) 584-4921
Fax: (719) 595-7994
- Organization
- Social Worker
- Clinical
About POUDRE VALLEY MEDICAL GROUP, LLC
This page provides the complete NPI Profile along with additional information for Poudre Valley Medical Group, Llc, a provider established in Pueblo, Colorado operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1225847460 assigned on January 2025. The practitioner's primary taxonomy code is 1041C0700X. The provider is registered as an organization and their NPI record was last updated April 2025. Poudre Valley Medical Group, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's
- NPI
- 1225847460
- Provider Legal Name
- POUDRE VALLEY MEDICAL GROUP, LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 400 W 16TH ST PUEBLO, CO 81003
- Location Phone
- (719) 584-4921
- Location Fax
- (719) 595-7994
- Mailing Address
- 2695 ROCKY MOUNTAIN AVE STE 150 LOVELAND, CO 80538
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 01-02-2025
- Last Update Date
- 04-21-2025
- Code Navigator
A clinical social worker like Poudre Valley Medical Group, Llc is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | |
| 2 | 207RH0002X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 3 | 208M00000X | Allopathic & Osteopathic Physicians | Hospitalist | |
| 4 | 261QE0002X | Ambulatory Health Care Facilities | Clinic/Center | |
| 5 | 363LN0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Reviews for POUDRE VALLEY MEDICAL GROUP, LLC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 2 | 5 | 8 | 4 | 7 | 4 | 6 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 4 | 5 | 16 | 4 | 14 | 4 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 4 + 5 + 1 + 6 + 4 + 1 + 4 + 4 + 1 + 2 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1225847460 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
JAMES E CALDWELL MD
Anesthesiology
400 W 16TH ST
PUEBLO, CO
ZIP 81003
BRENT A BRUMFIELD MD
Anesthesiology
400 W 16TH ST
PUEBLO, CO
ZIP 81003
PAUL M RAU CRNA
Nurse Anesthetist, Certified Registered
400 W 16TH ST
PUEBLO, CO
ZIP 81003
PHILIP MARK RICKMAN MD
Anesthesiology
400 W 16TH ST
PUEBLO, CO
ZIP 81003
BRIAN R SANDOVAL MD
Anesthesiology
400 W 16TH ST
PUEBLO, CO
ZIP 81003
ELIZABETH F. CORNWELL CRNA
Nurse Anesthetist, Certified Registered
400 W 16TH ST
PUEBLO, CO
ZIP 81003
JACKI L KIPE CRNA
Nurse Anesthetist, Certified Registered
400 W 16TH ST
PUEBLO, CO
ZIP 81003
ANN C VAN VALKENBURG CRNA
Nurse Anesthetist, Certified Registered
400 W 16TH ST
PUEBLO, CO
ZIP 81003
CYNTHIA A GARDINER CRNA
Nurse Anesthetist, Certified Registered
400 W 16TH ST
PUEBLO, CO
ZIP 81003
MATTHEW E. BOWLES M.D.
Emergency Medicine
400 W 16TH ST
PUEBLO, CO
ZIP 81003
DR. ROBERT MACDONALD IV M.D.
Emergency Medicine
400 W 16TH ST
PUEBLO, CO
ZIP 81003
DONNA B. TILLOTSON D.O.
Emergency Medicine
400 W 16TH ST
PUEBLO, CO
ZIP 81003
JIM M. TRIONE M.D.
Emergency Medicine
400 W 16TH ST
PUEBLO, CO
ZIP 81003
DR. THOMAS G. GREIDANUS M.D.
Emergency Medicine
400 W 16TH ST
PUEBLO, CO
ZIP 81003
PAMELA S. PARKS M.D.
Emergency Medicine
400 W 16TH ST
PUEBLO, CO
ZIP 81003
MICHAEL J. NERENBERG M.D.
Emergency Medicine
400 W 16TH ST
PUEBLO, CO
ZIP 81003
DR. ALEXANDER SUTHERLAND M.D.
Emergency Medicine
400 W 16TH ST
PUEBLO, CO
ZIP 81003
ROBERT RAY WESTERMEYER II M.D.
Emergency Medicine
400 W 16TH ST
SCEMA
PUEBLO, CO
ZIP 81003
MICHAEL PFANNENSTIEL M.D.
Emergency Medicine
400 W 16TH ST
PUEBLO, CO
ZIP 81003
SEAN KEENAN MD
Emergency Medicine
400 W 16TH ST
PUEBLO, CO
ZIP 81003
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225847460, enumerated in the NPI registry as an "organization" on January 02, 2025
The provider is located at 400 W 16th St Pueblo, Co 81003 and the phone number is (719) 584-4921
This medical organization specializes in Social Worker with taxonomy code 1041C0700X with a focus in Clinical
This NPI record was last updated on January 02, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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