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 1912506767

Poudre Valley Medical Group, LLC is a Clinical Social Worker in Longmont, Colorado. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
5
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

1750 E Ken Pratt Blvd
Longmont, CO 80504-5311
Phone: (720) 718-7000
Fax: (720) 718-0900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X
Clinical Social Worker Taxonomy 1041C0700X
Hospice and Palliative Medicine (Internal Medicine) Physician Taxonomy 207RH0002X
Emergency Care Clinic/Center Taxonomy 261QE0002X
Neonatal Nurse Practitioner Taxonomy 363LN0000X

Record details

NPI number1912506767
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPoudre Valley Medical Group, LLC
Authorized official Jana Conroy — Director Of Credentialing · (720) 718-7000
Other names Uchealth Medical Group
NPI enumeratedOctober 22, 2020
Last updated in NPPESAugust 19, 2024
Certification dateAugust 19, 2024
Mailing address2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071

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