Kelli Ann Woodard, MA LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW-1970 Issued in CO

Practice address

3201 S Tamarac Dr
Denver, CO 80231-4360

Phone

(720) 248-4701

Fax

(303) 597-7700

NPI assigned

Dec 6, 2011

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1063780054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3266 JASMINE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802072117",
            "telephone_number": "303-320-3790",
            "fax_number": "303-320-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S TAMARAC DR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314360",
            "telephone_number": "720-248-4701",
            "fax_number": "303-597-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "KELLI",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MA LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-06",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW-1970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Ryan Wood, MD
• Rebecca Powell Wood, B.A.
• Taylor Nicole Wood, PA-C
• Tessa Munson Wood, LPCC, MA
• Gigi Woodall
• Mark Woodard
• Andi Woodbury, D.O.
• Blair Woodbury, M.D.
• Sandra Woodbury, RMT
• Wooderson Physiotherapy

• Clinical Social Worker in Denver, CO
• Providers in Denver, 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 Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.