Individual provider Active NPI

Katherine Elizabeth Schomp, LCSW

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1245696970
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW00991113 Issued in CO
Practice address
1776 S Jackson St Ste 810
Denver, CO 80210-3807
Phone
(303) 807-0562
Fax
(720) 328-4369
NPI assigned
Jan 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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 CSW00991113 CO Primary

Addresses

Primary practice location

1776 S Jackson St Ste 810
Denver, CO 80210-3807

Mailing address

PO Box 21150
Boulder, CO 80308-4150
Phone (303) 807-0562

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
I20160812000620 CO Practitioner - Clinical Social Worker 5799079885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1776 S Jackson St
Suite 810
Denver, CO 80210-3807
Phone (303) 807-0562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW00991113COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Katherine Schomp Counseling Clinical CurrentSince Jul 12, 2017 Accepting new patients

Locations

1776 S Jackson St
Ste 810
Denver, CO 80210
Phone (303) 807-0562

1777 S Harrison St
Ste 1200
Denver, CO 80210
Phone (303) 809-1704

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": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1245696970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21150",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803084150",
            "telephone_number": "303-807-0562",
            "fax_number": "720-328-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 S JACKSON ST STE 810",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103807",
            "telephone_number": "303-807-0562",
            "fax_number": "720-328-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOMP",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-11",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW00991113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.