Individual provider Active NPI

Caitlyn Kohli

  • Clinical Social Worker
  • Englewood, CO
National Provider Identifier
1366041303
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09926844 Issued in CO
Practice address
4821 S Bannock St
Englewood, CO 80110-6534
Phone
(303) 761-5001
NPI assigned
Oct 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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.09926844 CO Primary

Addresses

Primary practice location

4821 S Bannock St
Englewood, CO 80110-6534

Mailing address

PO Box 61385
Denver, CO 80206-8385
Phone (303) 780-9191

Other practice location 1

4380 Austin Bluffs Pkwy
Colorado Springs, CO 80918-2932
Phone (719) 454-6010

Other practice location 2

2877 E Fountain Blvd
Colorado Springs, CO 80910-2312
Phone (719) 454-6009

Other names 1

  • Caitlyn Concklin Former name

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
I20240826003991 CO Practitioner - Clinical Social Worker 5395284004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Oak Street Health Physicians Group of Colorado PLLC 34 clinicians

Practice addresses (Care Compare)

2877 E Fountain Blvd
Oak Street Health Pikes Peak Park
Colorado Springs, CO 80910-2312
Phone (719) 454-6009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09926844COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of Colorado, PLLC Clinical CurrentSince Aug 6, 2024 Accepting new patients
Oak Street Health Physicians Group of Colorado, PLLC Clinical Current Accepting new patients

Locations

4380 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone (719) 454-6010

2877 E Fountain Blvd
Colorado Springs, CO 80910
Phone (719) 454-6009

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": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1366041303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61385",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802068385",
            "telephone_number": "303-780-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4821 S BANNOCK ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801106534",
            "telephone_number": "303-761-5001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4380 Austin Bluffs Pkwy",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809182932",
            "country_code": "US",
            "telephone_number": "719-454-6010",
            "fax_number": "719-258-1321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2877 E Fountain Blvd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809102312",
            "country_code": "US",
            "telephone_number": "719-454-6009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOHLI",
        "first_name": "CAITLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09926844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLYN",
            "last_name": "CONCKLIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.