Individual provider Active NPI

Kady Svitak, LCSW

  • Clinical Social Worker
  • Frisco, CO
National Provider Identifier
1780921783
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09925511 Issued in CO
Practice address
323 W Main St Ste 101
Frisco, CO 80443-5966
Phone
(970) 926-6340
Fax
(970) 926-6348
NPI assigned
Jan 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.015617 IL
Clinical Social Worker 1041C0700X CSW.09925511 CO Primary

Addresses

Primary practice location

323 W Main St Ste 101
Frisco, CO 80443-5966

Mailing address

PO Box 4330
Avon, CO 81620-4330
Phone (970) 926-6340

Other practice location 1

190 E 9th Ave Ste 290
Denver, CO 80203-2744
Phone (847) 951-5963

Other practice location 2

4851 Independence St
Wheat Ridge, CO 80033-6715
Phone (303) 425-0300

Other names 1

  • Kady Leibovitz Former 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
I20190410000416 CO Practitioner - Clinical Social Worker 4981945441 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eagle Valley Mental HealthGroup PAC ID 6204297450, 32 clinicians

Practice addresses (Care Compare)

429 Edwards Access Rd
VHBH Community Health Campus Op Services
Edwards, CO 81632-5559
Phone (970) 445-2489

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.015617ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Feb 8, 2021 Accepting new patients
Eagle Valley Mental Health CurrentSince Aug 1, 2023 Accepting new patients
Eagle Valley Mental Health Current Accepting new patients
Eagle Valley Mental Health CurrentSince Aug 1, 2023 Accepting new patients

Locations

323 W Main St
#101
Frisco, CO 80443
Phone (970) 406-0696

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225

Organizations & group practices 4

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": "1357776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1780921783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4330",
            "city": "AVON",
            "state": "CO",
            "postal_code": "816204330",
            "telephone_number": "970-926-6340",
            "fax_number": "970-926-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 W MAIN ST STE 101",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "804435966",
            "telephone_number": "970-926-6340",
            "fax_number": "970-926-6348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 E 9th Ave Ste 290",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802032744",
            "country_code": "US",
            "telephone_number": "847-951-5963",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4851 Independence St",
            "address_purpose": "LOCATION",
            "city": "Wheat Ridge",
            "state": "CO",
            "postal_code": "800336715",
            "country_code": "US",
            "telephone_number": "303-425-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SVITAK",
        "first_name": "KADY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-10",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.015617",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09925511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KADY",
            "last_name": "LEIBOVITZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Frisco, CO

Sources for this page

Verify at the official NPI Registry.