Individual provider Active NPI

Richard Charles Williams, LCSW

  • Clinical Social Worker
  • Arvada, CO
National Provider Identifier
1548634801
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09923900 Issued in CO
Practice address
9382 Pike Way
Arvada, CO 80007-8205
Phone
(720) 204-8539
NPI assigned
Nov 23, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0001542 CO
Clinical Social Worker 1041C0700X 09923900 CO Primary

Addresses

Primary practice location

9382 Pike Way
Arvada, CO 80007-8205

Mailing address

9382 Pike Way
Arvada, CO 80007-8205
Phone (303) 886-1309

Other practice location 1

80 Garden Ctr
Broomfield, CO 80020-7087
Phone (720) 912-1433

Other identifiers 2

IdentifierTypeStateIssuer
0001542OtherCODORA LAC
09923900OtherCODORA LCSW

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170605000972 CO Practitioner - Clinical Social Worker 9133496680 Reassigns benefits to 1 organization
I20251016003829 KS Practitioner - Clinical Social Worker 9133496680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7272 Wurzbach Rd
Suite 601
San Antonio, TX 78240-4803

9382 Pike Way
Arvada, CO 80007-8205

Merit-based Incentive Payment System (MIPS)

Final score
88.83 of 100Reported as group
Quality
77.43
Improvement activities
40
Cost
70.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0001542COMDAddiction (Substance Use Disorder) Counselor
09923900COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Counseling Institute Addiction (Substance Use Disorder) CurrentSince May 14, 2023 Accepting new patients
Deer Oaks West LLC CurrentSince Aug 1, 2023 Accepting new patients
Deer Oaks Mental Health Associates PC CurrentSince Oct 1, 2025 Accepting new patients

Locations

80 Garden Ctr
Broomfield, CO 80020
Phone (303) 960-4822

5822 S Lowell Way
Littleton, CO 80123
Phone (303) 798-2497

7101 E 21st St N
Wichita, KS 67206
Phone (316) 682-8909

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

Organizations & group practices 3

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": "1448236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1548634801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9382 PIKE WAY",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800078205",
            "telephone_number": "303-886-1309",
            "fax_number": "303-449-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9382 PIKE WAY",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800078205",
            "telephone_number": "720-204-8539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Garden Ctr",
            "address_purpose": "LOCATION",
            "city": "Broomfield",
            "state": "CO",
            "postal_code": "800207087",
            "country_code": "US",
            "telephone_number": "720-912-1433",
            "fax_number": "303-800-8228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RICHARD",
        "middle_name": "CHARLES",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-23",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "0001542",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09923900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORA LAC",
            "identifier": "0001542",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORA LCSW",
            "identifier": "09923900",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.