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

Staceyeileen Shannon Sinclare, LCSW, CACIII

Individual provider Clinical Social Worker · NPI 1861962995

Staceyeileen Shannon Sinclare, LCSW, CACIII is a Clinical Social Worker in Aurora, Colorado. Qualified in 1995, 31 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
31
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

12401 E 17th Ave Mail Stop F777
Aurora, CO 80045-2548
Phone: (720) 848-5197
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW.00992008 (CO)

Record details

NPI number1861962995
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , CACIII
Sole proprietorNo
NPI enumeratedDecember 2, 2018
Last updated in NPPESDecember 2, 2018

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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