OrganizationActive
Intent Revival
NPI 1457851925 · Clinical Social Worker · Fort Collins, CO
Provider details
- NPI number
- 1457851925
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Freyja May, Registered Agent(970) 624-9807
- License
- CSW.09925190 (CO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1817 Orchard Pl
Fort Collins, CO 80521-3323
Phone: (970) 624-9807
Street-level locationGet directions
Mailing address
1817 Orchard Pl
Fort Collins, CO 80521-3323
Registry dates
- Enumerated
- 2018-02-20
- Last updated
- 2018-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.