Provider Demographics
NPI:1639220742
Name:WIEDEY, CURT W (LCSW)
Entity Type:Individual
Prefix:MR
First Name:CURT
Middle Name:W
Last Name:WIEDEY
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3225 TEMPLETON GAP RD STE 218
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-8714
Mailing Address - Country:US
Mailing Address - Phone:719-633-4077
Mailing Address - Fax:719-520-5976
Practice Address - Street 1:3225 TEMPLETON GAP RD STE 218
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-8714
Practice Address - Country:US
Practice Address - Phone:719-633-4077
Practice Address - Fax:719-520-5976
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical