Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clinical Social Work, PLLC

Organization Clinical Social Worker · NPI 1962144667

Clinical Social Work, PLLC is a Clinical Social Worker in Pueblo, Colorado. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3000 Wedgewood Dr # 2215
Pueblo, CO 81005-2300
Phone: (719) 900-5279
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1962144667
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Trevor Gates-Crandall — Lcsw · (719) 900-5279
NPI enumeratedApril 12, 2022
Last updated in NPPESApril 12, 2022
Certification dateApril 12, 2022
Mailing address3000 Wedgewood Dr # 2215, Pueblo, CO 81005-2300

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