| Cynthia D Derrera, MSW, LCSW | |
| 
					1309 10th Ave, Greeley, CO 80631-3832  | |
| (970) 347-2440 | |
| Not Available | 
| Full Name | Cynthia D Derrera | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 1309 10th Ave, Greeley, Colorado | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1528434693 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW.09930183 (Colorado) | Primary | 
| Entity Name | North Range Behavioral Health | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1669431524 PECOS PAC ID: 1951299486 Enrollment ID: O20040316000674  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Cynthia D Derrera, MSW, LCSW 1300 N 17th Ave, Greeley, CO 80631-9584 Ph: (970) 347-2120  | Cynthia D Derrera, MSW, LCSW 1309 10th Ave, Greeley, CO 80631-3832 Ph: (970) 347-2440  | 
Jennifer Wallace, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1300 N 17th Ave, Greeley, CO 80631 Phone: 970-347-2120  | |
Laura Reid, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2101 16th St, Greeley, CO 80631 Phone: 970-573-7593  | |
Jarah Adrianna Grashorn,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1801 16th St, Greeley, CO 80631 Phone: 970-810-2044  | |
Sarah Wendt,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1300 N 17th Ave, Greeley, CO 80631 Phone: 970-347-2302  | |
Mr. Thomas Greeley, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 928 12th St, Greeley, CO 80631 Phone: 970-347-2120  | |
Caitlin Emily Buchholz,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1300 N 17th Ave, Greeley, CO 80631 Phone: 970-347-2120  | |
Ruby Rae Pino,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3257 W. 20th St., Greeley, CO 80634 Phone: 970-672-4667  |