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CEDRA D ETESAM LSW
NPI 1306558184
Social Worker - Clinical in Ignacio, CO

Active since December 23, 2022
15682 STATE HIGHWAY 172 LOT 34, IGNACIO, CO 81137(970) 426-9591 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 6, 2025, Dec 23, 2022 (2 updates tracked since 2022).

About Cedra D Etesam Lsw NPPES

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

CEDRA D ETESAM LSW (NPI 1306558184) is an individual clinical provider in Ignacio, Colorado, licensed in Colorado (0009925857) and active in the NPI registry since December 2022. She maintains a secondary practice location in Durango.

NPPES Registry Identity

NPI1306558184
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCEDRA D ETESAMCredential: LSW
Location Address15682 STATE HIGHWAY 172 LOT 34Ignacio, CO 81137-9742
Mailing Address15682 State Highway 172 Lot 34Ignacio, CO 81137-9742 · (970) 426-9591
Phone(970) 426-9591
Sole ProprietorNo
Enumeration DateDecember 23, 2022
Last NPPES UpdateApril 22, 20252 updates tracked since enumeration
NPPES CertifiedApril 22, 2025
✔ NPI 1306558184 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 · 0009925857
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.
15682 STATE HIGHWAY 172 LOT 34, Ignacio, CO 81137
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Secondary Practice Location 1

Location 14101 County Road 222Durango, CO 81303-6703 · Phone (970) 563-2297

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cedra Etesam's NPI number?

The NPI number for Cedra Etesam is 1306558184. It was assigned to this individual provider in the NPPES registry on December 23, 2022.

Where is Cedra Etesam located?

Cedra Etesam practices at 15682 State Highway 172 Lot 34, Ignacio, CO 81137. The listed phone number is (970) 426-9591.

What is Cedra Etesam's specialty?

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

When was this NPI record last updated?

The NPPES record for Cedra Etesam was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.