Individual provider Active NPI

Katherine Keegan Wolf, LCSW

  • Clinical Social Worker
  • Centennial, CO
National Provider Identifier
1336838176
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09929012 Issued in CO
Practice address
3969 E Arapahoe Rd Ste 109
Centennial, CO 80122-2003
Phone
(405) 213-7318
NPI assigned
May 8, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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 CSW.09929012 CO Primary

Addresses

Primary practice location

3969 E Arapahoe Rd Ste 109
Centennial, CO 80122-2003

Mailing address

1800 S Clarkson St
Denver, CO 80210-3202
Phone (405) 213-7318

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

LicenseStateTypeSpecialty
CSW.09929012COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Katherine Parker Counseling, LLC Clinical CurrentSince Jun 1, 2023 Accepting new patients
K.E. Therapy LLC Clinical CurrentSince Jul 23, 2023 Accepting new patients

Locations

3969 E Arapahoe Rd
Ste 109
Centennial, CO 80122
Phone (405) 213-7318

3969 E Arapahoe Rd
Centennial, CO 80122
Phone (405) 213-7318

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.

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1336838176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 S CLARKSON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103202",
            "telephone_number": "405-213-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3969 E ARAPAHOE RD STE 109",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801222003",
            "telephone_number": "405-213-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "KATHERINE",
        "middle_name": "KEEGAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09929012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.