Individual provider Active NPI

Katherine Dziezyc Millichamp

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1649051095
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09929718 Issued in CO
Practice address
833 E Ellsworth Ave Apt 208
Denver, CO 80209-2253
Phone
(720) 583-3930
Fax
(720) 970-8201
NPI assigned
Oct 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 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.09929718 CO Primary

Addresses

Primary practice location

833 E Ellsworth Ave Apt 208
Denver, CO 80209-2253

Mailing address

833 E Ellsworth Ave Apt 208
Denver, CO 80209-2253
Phone (720) 583-3930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

833 E Ellsworth Ave
Apt 208
Denver, CO 80209-2253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09929718COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Children's Advocacy Center PastSince Oct 15, 2023 Accepting new patients
Summit Sky Mental Health LLC Clinical Past Accepting new patients

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": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1649051095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 E ELLSWORTH AVE APT 208",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802092253",
            "telephone_number": "720-583-3930",
            "fax_number": "720-970-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 E ELLSWORTH AVE APT 208",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802092253",
            "telephone_number": "720-583-3930",
            "fax_number": "720-970-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLICHAMP",
        "first_name": "KATHERINE",
        "middle_name": "DZIEZYC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09929718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.