MEDICARE: KELLY MELISSA STUERKE LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	CSW.09923890	CO

General Provider Information

NPI Number	:	1417297649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLY MELISSA STUERKE LCSW

Provider Business Mailing Address
First Line	:	1004 WILSHIRE DR
Second Line	:
City	:	BERTHOUD
State	:	CO
Zip	:	80513-9372
Country	:	US
Telephone Number	:	970-699-5123
Fax Number	:

Provider Business Practice Location Address
First Line	:	1440 W 29TH ST
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-2459
Country	:	US
Telephone Number	:	970-775-7061
Fax Number	:	970-292-8194

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/25/2013
Last Update Date	:	01/22/2026

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