Kaylee Rom, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.09931146 Issued in CO

Practice address

3000 S College Ave Unit 210
Fort Collins, CO 80525-2558

Phone

(970) 764-7619

NPI assigned

Jun 8, 2022

Last updated

Apr 24, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Parent-Child Interaction Center LLC

  • Marriage & Family Therapist
  • Fort Collins, CO
  • NPI 1306090758
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1053040527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 S COLLEGE AVE UNIT 210",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252558",
            "telephone_number": "970-764-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 S COLLEGE AVE UNIT 210",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252558",
            "telephone_number": "970-764-7619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROM",
        "first_name": "KAYLEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09931146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Alan Rohrick, D.C.
• Jennifer Rohrick, D.C.
• Cheryl Rojas, OTR
• Natalie Rose Rolle, MOT OTR/L
• Michael David Roller, MD
• Erin Romaine, HIS
• Kathleen Diane Roman, MD
• Hannah Gaebler Romano, NP-C
• Marie Romel Sr., MSW
• Alicia E Romero Carrasco

• Clinical Social Worker in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.