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

Wendy Ellis Gaylord, LCSW

Individual provider Clinical Social Worker · NPI 1275793770

Wendy Ellis Gaylord, LCSW is a Clinical Social Worker in Boulder, Colorado. Qualified in 1995, 31 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Colorado and New York.

Years since qualifying
31
Licensed in
CO, NY
In the registry since
2008
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

2346 Broadway St Ste 3
Boulder, CO 80304-4107
Phone: (720) 357-4448
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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 943 (CO)
Clinical Social Worker Taxonomy 1041C0700X · Licence R051672-1 (NY)

Record details

NPI number1275793770
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 10, 2008
Last updated in NPPESOctober 3, 2012

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)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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