LYNAE R ELLGEN (LCSW) – Clinical Social Worker, NPI 1235349747

LYNAE R ELLGEN (LCSW) is a healthcare provider. based in Craig, Colorado. specializing in Clinical Social Worker. They hold the professional credentials LCSW. They hold a License No. LSW 177 (CO). The NPI Number for LYNAE R ELLGEN (LCSW) is 1235349747

Main info

Female
Sole Proprietor
Name
LYNAE R ELLGEN (LCSW)
NPI
1235349747
Phone
(970) 326-8138
Address
1040 ALTA VISTA DR
Enumeration Date
23 May 2007
Last Update Date
1 November 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for LYNAE R ELLGEN (LCSW)

  • 1040 ALTA VISTA DR

    CRAIG, CO 816253225

    Phone: (970) 326-8138

    Type: Mailing

  • 750 Hospital Loop

    Craig, CO 816258750

    Phone: (970) 824-9411

    Type: Location

  • 2045, West Victory Way, Craig, Moffat County, Colorado, 81625, United States

    CRAIG, CO 816253439

    Phone: (970) 824-2557

    Fax: (970) 824-2412

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241118000204IClinical Social WorkerCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 81625)

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Reviews

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Frequently asked questions

How do I look up LYNAE R ELLGEN (LCSW) by NPI?
Use NPI 1235349747 when you need to reference LYNAE R ELLGEN (LCSW) in forms, claims, or directories.
Is LYNAE R ELLGEN (LCSW) currently active in the NPI registry?
CMS-published data lists LYNAE R ELLGEN (LCSW) as an active registrant.
What kind of provider is LYNAE R ELLGEN (LCSW)?
The page reflects Clinical Social Worker for LYNAE R ELLGEN (LCSW). Clinical services aligned with this taxonomy classification.
Where is LYNAE R ELLGEN (LCSW)'s primary listing?
We display Craig, Colorado because that is what the record indicates for LYNAE R ELLGEN (LCSW).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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