Gladys Patricia Tellez-Villa, LSW
NPI 1538853437ActiveIndividual· Social Worker· Edwards, CO
Social Worker (LSW) with Eagle Valley Mental Health, practicing in Edwards, Colorado. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1538853437 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LSW |
| Sole proprietor | No |
| NPI issued | Jun 5, 2023 |
| Last updated in NPPES | Jun 5, 2023 |
| Certified by provider | Jun 5, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | LSW.0009924086 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (CO) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Eagle Valley Mental HealthEdwards, CO · 34 clinicians
Other Social Worker providers in Edwards
- 1811681711
- 1861712192