Individual provider Active NPI

Mackenzie Ruth Kryzer, LCSW

  • Clinical Social Worker
  • Littleton, CO
National Provider Identifier
1083113823
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09925994 Issued in CO
Practice address
5554 S Prince St
Littleton, CO 80120-1149
Phone
(303) 730-8858
NPI assigned
Feb 7, 2018
Last updated
Nov 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 22713 MN
Clinical Social Worker 1041C0700X CSW.09925994 CO Primary

Addresses

Primary practice location

5554 S Prince St
Littleton, CO 80120-1149

Mailing address

155 Inverness Dr W
Englewood, CO 80112-5000
Phone (303) 730-8858

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190709001282 CO Practitioner - Clinical Social Worker 9032444310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arapahoe Mental Health Center IncGroup PAC ID 7315850708, 126 clinicians

Practice addresses (Care Compare)

5554 S Prince St
Littleton, CO 80120-1126
Phone (303) 730-8858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22713MNMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Arapahoe Mental Health Center, Inc CurrentSince Jun 17, 2019 Accepting new patients
Arapahoe Mental Health Center, Inc Current Accepting new patients
Arapahoe Mental Health Center, Inc CurrentSince Jun 17, 2019 Accepting new patients

Locations

116 Inverness Dr E
Ste 105
Englewood, CO 80112

5524 S Prince St
Littleton, CO 80120
Phone (303) 730-0797

5554 S Prince St
Littleton, CO 80120
Phone (720) 427-5707

61 W Davies Ave N
Littleton, CO 80120
Phone (303) 797-9420

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1083113823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 INVERNESS DR W",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125000",
            "telephone_number": "303-730-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5554 S PRINCE ST",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801201149",
            "telephone_number": "303-730-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRYZER",
        "first_name": "MACKENZIE",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-07",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "22713",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09925994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.