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

Staci Lynne Smock, LCSW

Individual provider Clinical Social Worker · NPI 1093261182

Staci Lynne Smock, LCSW is a Clinical Social Worker in Fort Collins, Colorado. Qualified in 1998, 28 years ago. Practices with Mindful Therapy Group of Colorado, PC, a 28-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado and Kansas.

Years since qualifying
28
Licensed in
CO, KS
In the registry since
2016
Specialties on file
2
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

300 Boardwalk Dr Unit 5A
Fort Collins, CO 80525-3093
Phone: (720) 334-8891
Fax: (970) 223-2324
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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 4578 (KS)
Clinical Social Worker Taxonomy 1041C0700X · Licence CSW.09927292 (CO)

Record details

NPI number1093261182
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 29, 2016
Last updated in NPPESSeptember 27, 2022
Certification dateSeptember 19, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Mindful Therapy Group Of Colorado, Pc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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