Individual provider Active NPI

Renee Kaplan-Shepard, LCSW

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1780768267
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
989867 Issued in CO
Practice address
10200 E Girard Ave Ste D140
Denver, CO 80231-5637
Phone
(303) 819-4117
Fax
(303) 270-2174
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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 989867 CO Primary

Addresses

Primary practice location

10200 E Girard Ave Ste D140
Denver, CO 80231-5637

Mailing address

10200 E Girard Ave Ste D140
Denver, CO 80231-5637
Phone (303) 819-4117

Other identifiers 1

IdentifierTypeStateIssuer
05201009MedicaidCO

Other names 1

  • Renee Kaplan Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100929000792 CO Practitioner - Clinical Social Worker 6103942966 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
989867COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
RK-S,LCSW, LLC CurrentSince Aug 20, 2012 Accepting new patients

Locations

10200 E Girard Ave
Ste D140
Denver, CO 80231
Phone (303) 357-2540

Organizations & group practices 1

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1780768267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 E GIRARD AVE STE D140",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802315637",
            "telephone_number": "303-819-4117",
            "fax_number": "303-270-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 E GIRARD AVE STE D140",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802315637",
            "telephone_number": "303-819-4117",
            "fax_number": "303-270-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPLAN-SHEPARD",
        "first_name": "RENEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "989867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05201009",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "KAPLAN",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.