Katherine C Eike, LCSW, MSW

Individual provider Active NPI Clinical Social Worker · Estes Park, CO

NPI 1306043153 · NPPES record last updated May 30, 2019

Key facts

NPI
1306043153
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
CSW.09925069 (CO)
Practice address
1950 Redtail Hawk Dr
Estes Park, CO 80517-9780
Phone
(970) 494-4200
NPI assigned
Jun 27, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2204 18TH Ave
Suite 124
Longmont, CO 80501-9709
Phone (303) 827-9651

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20171011001203 CO Practitioner - Clinical Social Worker 6507966223 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
9444FLMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Accessible Counseling Clinical Current
since Oct 26, 2021
Accepting new patients
John T Bopp PC Clinical Past Accepting new patients

Locations

2204 18th Ave
Ste 124
Longmont, CO 80501
Phone (303) 827-9651

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9444 FL
Clinical Social Worker 1041C0700X 3725 KS
Clinical Social Worker 1041C0700X CSW.09925069 CO Yes

Addresses

Primary practice location

1950 Redtail Hawk Dr
Estes Park, CO 80517-9780

Mailing address

4856 Innovation Dr Ste B
Fort Collins, CO 80525-5540
Phone (970) 494-4200

Other names

  • Casey Eike Other name

Other providers in Estes Park, CO

All providers in Estes Park, CO · Clinical Social Worker in Colorado

Sources for this page

Verify at the official NPI Registry.