Active NPI
Ananda Wick, LCSW
- Clinical Social Worker
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.09923722
- Practice address
- 777 Bannock St
Denver, CO 80204-4597 - Phone
- (303) 436-6388
- Fax
- (303) 602-4560
- NPI assigned
- Sep 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACC.0997749 | CO | |
| Clinical Social Worker | 1041C0700X | CSW.09923722 | CO | Primary |
Addresses
Primary practice location
777 Bannock St
Denver, CO 80204-4597
Mailing address
777 Bannock St
Denver, CO 80204-4597
Phone (303) 436-6388
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
777 Bannock St
Denver, CO 80204-4507
Phone (303) 436-6000
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.65 of 100
- Quality
- 92.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.02
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACC.0997749 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| CSW.09923722 | CO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Clinical | Current | Accepting new patients |
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Denver Health and Hospital Authority | Current | Accepting new patients |
Locations
777 Bannock St
Denver, CO 80204
1738 Wynkoop St
Ste 303
Denver, CO 80202
Phone (720) 263-0260
2465 S Downing St
Ste 110
Denver, CO 80210
Phone (303) 778-1955
720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589
7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650
Organizations & group practices 6
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.
-
- General Practice Physician
- Denver, CO
- NPI 1477569838
-
- Clinical Social Worker
- Denver, CO
- NPI 1760854442
-
- Psychiatric Hospital Unit
- Denver, CO
- NPI 1689624942
-
dba AdventHealth Transplant Institute Pueblo
- Transplant Surgery Physician
- Pueblo, CO
- NPI 1245993666
-
dba Affiliated Ear, Nose & Throat Physicians
- Otolaryngology Physician
- Greenwood Village, CO
- NPI 1760761928
-
dba AdventHealth Medical Group Urology at Lakewood
- Urology Physician
- Lakewood, CO
- NPI 1942165626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1558557405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 BANNOCK ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802044597",
"telephone_number": "303-436-6388",
"fax_number": "303-602-4560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 BANNOCK ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802044597",
"telephone_number": "303-436-6388",
"fax_number": "303-602-4560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WICK",
"first_name": "ANANDA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-24",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "ACC.0997749",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09923722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.