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

Poudre Valley Medical Group, LLC

Organization Clinical Social Worker · NPI 1124900998

Poudre Valley Medical Group, LLC is a Clinical Social Worker in Fort Collins, Colorado. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1107 S Lemay Ave Ste 100
Fort Collins, CO 80524-3956
Phone: (970) 495-8440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X
Clinical Social Worker Taxonomy 1041C0700X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1124900998
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPoudre Valley Medical Group, LLC
Authorized official Jana Conroy — Director Credentialing · (970) 624-4443
NPI enumeratedJuly 23, 2025
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025
Mailing address2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071

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