Kelly Leigh Thielk, LCSW, CADC is a
Social Worker - Clinical based in Fort Collins, Colorado. Kelly Leigh Thielk is licensed to practice in Illinois (license number 149020903) and her current practice location is
300 E Horsetooth Rd Ste 200, Fort Collins, Colorado. She can be reached at her office (for appointments etc.) via phone at
(331) 725-1878.
NPI number for Kelly Leigh Thielk is 1154981769 and her current mailing address is 3475 Yule Trail Dr, Fort Collins, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154981769.
Healthcare Provider's Profile
Full Name | Kelly Leigh Thielk |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 300 E Horsetooth Rd Ste 200, Fort Collins, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154981769
- Provider Enumeration Date: 06/17/2019
- Last Update Date: 10/02/2019
Medical Identifiers
Medical identifiers for Kelly Leigh Thielk such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154981769 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 32880 (Illinois) | Secondary |
1041C0700X | Social Worker - Clinical | 149020903 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Leigh Thielk is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelly Leigh Thielk, LCSW, CADC 3475 Yule Trail Dr, Fort Collins, CO 80524-1243 Ph: (331) 725-1878 | Kelly Leigh Thielk, LCSW, CADC 300 E Horsetooth Rd Ste 200, Fort Collins, CO 80525-3154 Ph: (331) 725-1878 |
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