Individual provider Active NPI

Katherine Booz Ward, L.C.S.W.

  • Clinical Social Worker
  • Boulder, CO
National Provider Identifier
1194942730
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17 Issued in CO
Practice address
3405 Penrose PL Ste 106
Boulder, CO 80301-1819
Phone
(303) 999-1364
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 17 CO Primary

Addresses

Primary practice location

3405 Penrose PL Ste 106
Boulder, CO 80301-1819

Mailing address

3405 Penrose PL Ste 106
Boulder, CO 80301-1819
Phone (303) 999-1364

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
I20170424001899 CO Practitioner - Clinical Social Worker 8426334665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Boulder, CO 80301
Phone (303) 999-1364

16881 W 63Rd PL
Arvada, CO 80403-7491

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Katherine Ward LCSW, Inc. Clinical CurrentSince Mar 4, 2017 Accepting new patients

Locations

3405 Penrose Pl
Ste 106
Boulder, CO 80301
Phone (303) 444-5105

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1194942730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 PENROSE PL STE 106",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011819",
            "telephone_number": "303-999-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 PENROSE PL STE 106",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011819",
            "telephone_number": "303-999-1364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "KATHERINE",
        "middle_name": "BOOZ",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "17",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.