Individual provider Active NPI

Kayde Claunch, LSW, LAC

  • Social Worker
  • Denver, CO
National Provider Identifier
1609242361
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LSW.0009920594 Issued in CO
Practice address
5250 Leetsdale Dr Ste 210
Denver, CO 80246-1451
Phone
(303) 893-3050
NPI assigned
Aug 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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 ACD0000989 CO
Social Worker 104100000X LSW.0009920594 CO Primary

Addresses

Primary practice location

5250 Leetsdale Dr Ste 210
Denver, CO 80246-1451

Mailing address

3738 W Princeton Cir
Denver, CO 80236-3110

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
I20221101000288 CO Practitioner - Clinical Social Worker 2769859958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vivent Health IncGroup PAC ID 1052308376, 54 clinicians

Practice addresses (Care Compare)

5250 Leetsdale Dr
Suite 300
Denver, CO 80246-1451
Phone (303) 393-8050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACD0000989COMDAddiction (Substance Use Disorder) Counselor
LSW.0009920594COMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vivent Health Inc CurrentSince Nov 20, 2022 Accepting new patients
Vivent Health Inc CurrentSince Sep 26, 2022 Accepting new patients
Vivent Health Inc PastSince Nov 20, 2022 Accepting new patients

Locations

5250 Leetsdale Dr
Ste 300
Denver, CO 80246
Phone (303) 393-8050

5250 Leetsdale Dr
Ste 210
Denver, CO 80246
Phone (303) 393-8050

648 N Plankinton Ave
Ste 200
Milwaukee, WI 53203

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": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1609242361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3738 W PRINCETON CIR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802363110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 LEETSDALE DR STE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461451",
            "telephone_number": "303-893-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAUNCH",
        "first_name": "KAYDE",
        "credential": "LSW, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD0000989",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "LSW.0009920594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.