Active NPI
Katherine Anne Dibattisto, LCSW
- Clinical Social Worker
- Longmont, CO
National Provider Identifier
1225684145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 00989796
- Practice address
- 1750 E Ken Pratt Blvd
Longmont, CO 80504-5311 - Phone
- (720) 718-2240
- NPI assigned
- Aug 15, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 00989796 | CO | Primary |
Addresses
Primary practice location
1750 E Ken Pratt Blvd
Longmont, CO 80504-5311
Mailing address
1750 E Ken Pratt Blvd
Longmont, CO 80504-5311
Phone (720) 718-2240
Other practice location 1
12605 E 16th Ave
Aurora, CO 80045-2545
Phone (970) 848-9111
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | katherine.dibattisto@uchealth.org |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00989796 | CO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Colorado | Clinical | Current | Accepting new patients |
Interoperability endpoints
- kdibattisto236339@direct.childrenscolorado.org
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.
-
- Clinical Social Worker
- Aurora, CO
- NPI 1174282776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570406400000",
"number": "1225684145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 E KEN PRATT BLVD",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805045311",
"telephone_number": "720-718-2240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 E KEN PRATT BLVD",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805045311",
"telephone_number": "720-718-2240"
}
],
"practiceLocations": [
{
"address_1": "12605 E 16th Ave",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800452545",
"country_code": "US",
"telephone_number": "970-848-9111",
"fax_number": "970-848-5457",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIBATTISTO",
"first_name": "KATHERINE",
"middle_name": "ANNE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-15",
"last_updated": "2019-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "00989796",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "katherine.dibattisto@uchealth.org",
"affiliation": "N",
"address_1": "Longs Peak Hospital",
"address_2": "1750 E Ken Pratt Blvd",
"city": "Longmont",
"state": "CO",
"country_code": "US",
"postal_code": "80504",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.