Individual provider Active NPI

Deidra Suzanne Ward, LCSW, LAC

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1659786424
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09923294 Issued in CO
Practice address
1777 S Harrison St Ste 1200
Denver, CO 80210-3955
Phone
(303) 549-8459
NPI assigned
Jun 30, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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 ACB.0007665 CO
Clinical Social Worker 1041C0700X CSW.09923294 CO Primary

Addresses

Primary practice location

1777 S Harrison St Ste 1200
Denver, CO 80210-3955

Mailing address

1777 S Harrison St Ste 1200
Denver, CO 80210-3955
Phone (303) 549-8459

Other practice location 1

720 S Colorado Blvd Ste 610S
Denver, CO 80246-1942
Phone (303) 848-8755

Other names 1

  • Ms. Deidra Suzanne Milligan Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACB.0007665COMDAddiction (Substance Use Disorder) Counselor
CSW.09923294COMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1659786424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 S HARRISON ST STE 1200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103955",
            "telephone_number": "303-549-8459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 S HARRISON ST STE 1200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103955",
            "telephone_number": "303-549-8459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 S Colorado Blvd Ste 610S",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802461942",
            "country_code": "US",
            "telephone_number": "303-848-8755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "DEIDRA",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACB.0007665",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09923294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEIDRA",
            "last_name": "MILLIGAN",
            "middle_name": "SUZANNE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.