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

Individual provider Clinical Social Worker · NPI 1376044594

Kimberly Blackwelder, LCSW is a Clinical Social Worker in Colorado Springs, Colorado. Qualified in 2012, 14 years ago. Practices with A New Leaf Therapy PLLC, a 12-clinician group and offers telehealth. Licensed in Colorado.

Years since qualifying
14
Licensed in
CO
In the registry since
2018
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1369 Coolcrest Dr
Colorado Springs, CO 80906-7745
Phone: (719) 659-6610
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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 · Licence CSW.09925027 (CO)

Record details

NPI number1376044594
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 22, 2018
Last updated in NPPESJanuary 15, 2020
Certification dateJanuary 15, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice A New Leaf Therapy Pllc — 12 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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