Individual provider Active NPI

Kristen McPherson Ward, LCSW

  • Clinical Social Worker
  • Fort Collins, CO
National Provider Identifier
1467790725
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
992376 Issued in CO
Practice address
1302 S Shields St Unit A2-2
Fort Collins, CO 80521-4803
Phone
(970) 658-7594
Fax
(970) 493-8009
NPI assigned
Jan 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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 992376 CO Primary

Addresses

Primary practice location

1302 S Shields St Unit A2-2
Fort Collins, CO 80521-4803

Mailing address

1302 S Shields St Unit A2-2
Fort Collins, CO 80521-4803
Phone (970) 658-7594

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
I20170705000310 CO Practitioner - Clinical Social Worker 7719256866 Practice locations: Fort Collins, CO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1302 S Shields
Suite Az 2
Fort Collins, CO 80521-4803
Phone (970) 658-7594

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
992376COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Robert W Calhoun PHD PC PastSince Sep 20, 2020 Accepting new patients

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": "1358812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1467790725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 S SHIELDS ST UNIT A2-2",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805214803",
            "telephone_number": "970-658-7594",
            "fax_number": "970-493-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 S SHIELDS ST UNIT A2-2",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805214803",
            "telephone_number": "970-658-7594",
            "fax_number": "970-493-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "KRISTEN",
        "middle_name": "MCPHERSON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-22",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "992376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.