Active NPI
McKayla Siobhan Wood, CSW
- Clinical Social Worker
- Wheat Ridge, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- .09929809
- Practice address
- 4851 Independence St
Wheat Ridge, CO 80033-6715 - Phone
- (303) 425-0300
- NPI assigned
- Jun 4, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | .09929809 | CO | Primary |
Addresses
Primary practice location
4851 Independence St
Wheat Ridge, CO 80033-6715
Mailing address
4851 Independence St
Wheat Ridge, CO 80033-6715
Phone (303) 425-0300
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240717002141 | CO | Practitioner - Clinical Social Worker | 2567907280 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4851 Independence St
Suite 100
Wheat Ridge, CO 80033-6711
Phone (303) 425-0300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| .09929809 | CO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson Center for Mental Health | Current | Accepting new patients | |
| Jefferson Center for Mental Health | Current | Accepting new patients | |
| Jefferson Center for Mental Health | Past | Accepting new patients |
Locations
7828 Vance Dr
Arvada, CO 80003
Phone (303) 425-5700
16280 W 64th Ave
Arvada, CO 80007
Phone (720) 898-1110
12055 W 2nd Pl
Lakewood, CO 80228
Phone (303) 425-4480
9485 W Colfax Ave
Lakewood, CO 80215
Phone (303) 432-5200
3595 S Teller St
Ste 200
Lakewood, CO 80235
Phone (720) 713-0587
5801 W Alameda Ave
Lakewood, CO 80226
Phone (303) 432-5444
4851 Independence St
Wheat Ridge, CO 80033
Phone (303) 432-5115
9595 W 49th Ave
Wheat Ridge, CO 80033
Phone (303) 425-6328
4851 Independence St
Ste 100
Wheat Ridge, CO 80033
Phone (303) 456-5495
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wheat Ridge, CO
- NPI 1154403798
CO
-
- Community/Retail Pharmacy
- Lakewood, CO
- NPI 1861574642
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Lakewood, CO
- NPI 1568768273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1669213575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4851 INDEPENDENCE ST",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336715",
"telephone_number": "303-425-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4851 INDEPENDENCE ST",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336715",
"telephone_number": "303-425-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "MCKAYLA",
"middle_name": "SIOBHAN",
"credential": "CSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-04",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": ".09929809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.