Individual provider Active NPI

Alyce Duckworth, L.C.S.W.

  • Clinical Social Worker
  • Centennial, CO
National Provider Identifier
1861524944
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
992830 Issued in CO
Practice address
6093 S Quebec St Ste 100
Centennial, CO 80111-4543
Phone
(303) 797-9430
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 992830 CO
Clinical Social Worker 1041C0700X 992830 CO Primary

Addresses

Primary practice location

6093 S Quebec St Ste 100
Centennial, CO 80111-4543

Mailing address

6093 S Quebec St Ste 100
Centennial, CO 80111-4543
Phone (720) 635-9864

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
I20130615000035 CO Practitioner - Clinical Social Worker 6103065511 Practice locations: Centennial, CO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6093 S Quebec St
Suite 100
Centennial, CO 80111-4543
Phone (720) 635-9864

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
992830COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Duckworth Collaborative Therapy Clinical Current Accepting new patients

Locations

6093 S Quebec St
Ste 100
Englewood, CO 80111
Phone (303) 770-0940

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1861524944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6093 S QUEBEC ST STE 100",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801114543",
            "telephone_number": "720-635-9864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6093 S QUEBEC ST STE 100",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801114543",
            "telephone_number": "303-797-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCKWORTH",
        "first_name": "ALYCE",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "992830",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "992830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.