Individual provider Active NPI

Rebecca Kitey, LSW

  • Clinical Social Worker
  • Lakewood, CO
National Provider Identifier
1841885381
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0009923433 Issued in CO
Practice address
12157 W Cedar Dr Ste 200
Lakewood, CO 80228-2105
Phone
(720) 295-8133
Fax
(303) 985-7882
NPI assigned
Mar 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X 9923433 CO
Clinical Social Worker 1041C0700X 0009923433 CO Primary

Addresses

Primary practice location

12157 W Cedar Dr Ste 200
Lakewood, CO 80228-2105

Mailing address

12655 W Bayaud Ave Unit 43
Lakewood, CO 80228-2025
Phone (720) 295-8133

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

LicenseStateTypeSpecialty
9923433COMDSocial Worker
0009923433COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Attuned Mind LLC Clinical CurrentSince Mar 1, 2021 Accepting new patients

Locations

30922 Hilltop Dr
Ste 200
Evergreen, CO 80439
Phone (970) 590-2897

12157 W Cedar Dr
Ste 200
Lakewood, CO 80228
Phone (720) 513-1215

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": "1614988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1841885381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12655 W BAYAUD AVE UNIT 43",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282025",
            "telephone_number": "720-295-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12157 W CEDAR DR STE 200",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282105",
            "telephone_number": "720-295-8133",
            "fax_number": "303-985-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITEY",
        "first_name": "REBECCA",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-06",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "CO",
            "license": "9923433",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "0009923433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.