Individual provider Active NPI

Nick Liles, MSW

  • Clinical Social Worker
  • Highlands Ranch, CO
National Provider Identifier
1356021752
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWC.0000001459 Issued in CO
Practice address
9249 S Broadway Ste 200-206
Highlands Ranch, CO 80129-5690
Phone
(720) 507-3189
NPI assigned
Jul 20, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 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 SWC.0000001459 CO Primary

Addresses

Primary practice location

9249 S Broadway Ste 200-206
Highlands Ranch, CO 80129-5690

Mailing address

9249 S Broadway Ste 200-206
Highlands Ranch, CO 80129-5690
Phone (720) 507-3189

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
SWC.0000001459COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Therapy Group CurrentSince Jul 23, 2023 Accepting new patients

Locations

9249 S Broadway
Ste 200206
Highlands Ranch, CO 80129
Phone (720) 507-3189

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": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1356021752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9249 S BROADWAY STE 200-206",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801295690",
            "telephone_number": "720-507-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9249 S BROADWAY STE 200-206",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801295690",
            "telephone_number": "720-507-3189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILES",
        "first_name": "NICK",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "SWC.0000001459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.