Active NPI
Ellie Kayyem
- Social Worker
- Arvada, CO
National Provider Identifier
1083289664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LSW.0009926572
- Practice address
- 6275 Joyce Dr Ste 200
Arvada, CO 80403-7629 - Phone
- (719) 787-7937
- NPI assigned
- May 25, 2021
- Last updated
- Jul 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LSW.0009926572 | CO | Primary |
| Case Manager/Care Coordinator | 171M00000X | NU | ||
| Behavior Technician | 106S00000X | NU |
Addresses
Primary practice location
6275 Joyce Dr Ste 200
Arvada, CO 80403-7629
Mailing address
6275 Joyce Dr Ste 200
Arvada, CO 80403-7629
Other practice location 1
4455 E 12th Ave
Denver, CO 80220-2415
Phone (303) 504-7900
Other practice location 2
12157 W Cedar Dr Ste 200
Lakewood, CO 80228-2105
Phone (719) 787-7937
Other practice location 3
418 Centre St Unit C
Boston, MA 02130-5197
Phone (800) 249-1266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW.0009926572 | CO | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752192000000",
"number": "1083289664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6275 JOYCE DR STE 200",
"city": "ARVADA",
"state": "CO",
"postal_code": "804037629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6275 JOYCE DR STE 200",
"city": "ARVADA",
"state": "CO",
"postal_code": "804037629",
"telephone_number": "719-787-7937"
}
],
"practiceLocations": [
{
"address_1": "4455 E 12th Ave",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802202415",
"country_code": "US",
"telephone_number": "303-504-7900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12157 W Cedar Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Lakewood",
"state": "CO",
"postal_code": "802282105",
"country_code": "US",
"telephone_number": "719-787-7937",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "418 Centre St Unit C",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021305197",
"country_code": "US",
"telephone_number": "800-249-1266",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAYYEM",
"first_name": "ELLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-25",
"last_updated": "2025-07-11",
"certification_date": "2025-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CO",
"license": "LSW.0009926572",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arvada, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.