MRS. MARY B EZEQUELLE LCSW, PC
NPI 1700116845
Social Worker - Clinical in Gypsum, CO

Active since January 13, 2010
262 CEDAR DR, BOX 4066, GYPSUM, CO 81637(970) 524-2025(970) 524-2025 Get Directions Write a Review

NPPES record last updated: January 13, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Mary B Ezequelle Lcsw, Pc NPPES

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

MRS. MARY B EZEQUELLE LCSW, PC (NPI 1700116845) is an individual clinical provider in Gypsum, Colorado, licensed in Colorado (991906) and active in the NPI registry since January 2010.

NPPES Registry Identity

NPI1700116845
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. MARY B EZEQUELLECredential: LCSW, PC
Location Address262 CEDAR DR, BOX 4066Gypsum, CO 81637-4066
Mailing Address262 Cedar Dr, Box 4066Gypsum, CO 81637-4066 · (970) 524-2025 · Fax (970) 524-2025
Fax(970) 524-2025
Sole ProprietorNo
Enumeration DateJanuary 13, 2010
NPI 1700116845 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 · 991906
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.
262 CEDAR DR, Gypsum, CO 81637

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 Mary Ezequelle's NPI number?

The NPI number for Mary Ezequelle is 1700116845. It was assigned to this individual provider in the NPPES registry on January 13, 2010.

Where is Mary Ezequelle located?

Mary Ezequelle practices at 262 Cedar Dr Box 4066, Gypsum, CO 81637. The listed phone number is (970) 524-2025.

What is Mary Ezequelle'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 Mary Ezequelle was last updated on January 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.