Active NPI
Kelly Nicks, LSW
- Social Worker
- Denver, CO
National Provider Identifier
1699533562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- CSW.09931409
- Practice address
- 1601 E 19TH Ave Ste 6600
Denver, CO 80218-1292 - Phone
- (720) 961-6178
- NPI assigned
- Mar 6, 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | CSW.09931409 | CO | Primary |
Addresses
Primary practice location
1601 E 19TH Ave Ste 6600
Denver, CO 80218-1292
Mailing address
9197 Grant St
Thornton, CO 80229-4329
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW.09931409 | CO | MD | Social Worker |
Interoperability endpoints
- kelly.nicks.1@14034.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739404800000",
"number": "1699533562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9197 GRANT ST",
"city": "THORNTON",
"state": "CO",
"postal_code": "802294329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 E 19TH AVE STE 6600",
"city": "DENVER",
"state": "CO",
"postal_code": "802181292",
"telephone_number": "720-961-6178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICKS",
"first_name": "KELLY",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-06",
"last_updated": "2025-02-13",
"certification_date": "2025-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CO",
"license": "CSW.09931409",
"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 Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.