Active NPI
Kristi W. Mock, LCSW
- Clinical Social Worker
- Denver, CO
National Provider Identifier
1790777886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 989180
- Practice address
- 4455 E 12TH Ave
Denver, CO 80220-2415 - Phone
- (303) 504-7700
- Fax
- (303) 782-0916
- NPI assigned
- Aug 16, 2005
- 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 | 989180 | CO | Primary |
Addresses
Primary practice location
4455 E 12TH Ave
Denver, CO 80220-2415
Mailing address
4455 E 12TH Ave
Denver, CO 80220-2415
Phone (303) 504-7700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 800014240 | Other | CO | RAILROAD MEDICARE |
Other names 1
- Kristen K. Wesswick
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 989180 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395014400000",
"number": "1790777886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4455 E 12TH AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802202415",
"telephone_number": "303-504-7700",
"fax_number": "303-782-0916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4455 E 12TH AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802202415",
"telephone_number": "303-504-7700",
"fax_number": "303-782-0916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOCK",
"first_name": "KRISTI",
"middle_name": "W.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-16",
"last_updated": "2014-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "989180",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "800014240",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "WESSWICK",
"middle_name": "K.",
"code": "1",
"type": "Former Name"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.