Individual ProviderJay VanderwerffSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2555 Midpoint Dr, Suite A, Fort Collins, CO 80525-4425(970) 498-7493PECOS EnrollmentBased on the most recent information from CMS, provider Jay Vanderwerff is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1235565250Provider TypeIndividualFull NameVanderwerff, JayCredentialLCSW, LACGenderMaleSole ProprietorNoEnumeration Date9/23/2013Last Updated3/31/2017Contact InformationPractice LocationPractice Address2555 Midpoint Dr, Suite A, Fort Collins, CO 80525-4425Phone(970) 498-7493FaxUnlisted FaxMailing LocationMailing Address525 W Oak St, Fort Collins, CO 80521-2612Phone(970) 498-7493FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseCSW.09924776ColoradoCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseACD.0000765Colorado