Active NPI
Evyn E Fickau
- Clinical Social Worker
- Centennial, CO
National Provider Identifier
1750194122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 7200 E Dry Creek Rd
BLDG C Ste 203
Centennial, CO 80112 - Phone
- (720) 983-6150
- NPI assigned
- Jan 29, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
7200 E Dry Creek Rd
BLDG C Ste 203
Centennial, CO 80112
Mailing address
1018 E Ellsworth Ave Apt 80a
Denver, CO 80209-2382
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1750194122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1018 E ELLSWORTH AVE APT 80A",
"city": "DENVER",
"state": "CO",
"postal_code": "802092382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 E DRY CREEK RD",
"address_2": "BLDG C STE 203",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "80112",
"telephone_number": "720-983-6150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FICKAU",
"first_name": "EVYN",
"middle_name": "E",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-29",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.