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CLINICAL SOCIAL WORK, PLLC
NPI 1962144667
Social Worker - Clinical in Pueblo, CO

Active since April 12, 2022
3000 WEDGEWOOD DR # 2215, PUEBLO, CO 81005(719) 900-5279 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Clinical Social Work, Pllc NPPES

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

CLINICAL SOCIAL WORK, PLLC (NPI 1962144667) is a healthcare organization registered as a clinical in Pueblo, Colorado and active in the NPI registry since April 2022. The organization lists Trevor Gates-crandall, Lcsw, as its authorized official.

NPPES Registry Identity

NPI1962144667
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCLINICAL SOCIAL WORK, PLLC
Location Address3000 WEDGEWOOD DR # 2215Pueblo, CO 81005-2300
Mailing Address3000 Wedgewood Dr # 2215Pueblo, CO 81005-2300 · (719) 900-5279
Phone(719) 900-5279
Organization SubpartNo
Authorized OfficialTrevor Gates-crandallLcsw · (719) 900-5279
Enumeration DateApril 12, 2022
NPPES CertifiedApril 12, 2022
✔ NPI 1962144667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
3000 WEDGEWOOD DR # 2215, Pueblo, CO 81005
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Clinical Social Work, PLLC's NPI number?

The NPI number for Clinical Social Work, PLLC is 1962144667. It was assigned to this organization in the NPPES registry on April 12, 2022.

Where is Clinical Social Work, PLLC located?

Clinical Social Work, PLLC is located at 3000 Wedgewood Dr # 2215, Pueblo, CO 81005. The listed phone number is (719) 900-5279.

What is Clinical Social Work, PLLC'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 Clinical Social Work, PLLC was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.