Individual provider Active NPI

Adam Nowicki, MSW, LCSW

  • Clinical Social Worker
  • Westminster, CO
National Provider Identifier
1912277666
Registry record updated Jul 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09925704 Issued in CO
Practice address
2010 W 120TH Ave Ste 105
Westminster, CO 80234-2458
Phone
(303) 351-1650
NPI assigned
Jan 11, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2024

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 CSW.09925704 CO Primary

Addresses

Primary practice location

2010 W 120TH Ave Ste 105
Westminster, CO 80234-2458

Mailing address

2010 W 120TH Ave Ste 105
Westminster, CO 80234-2458
Phone (303) 351-1650

Other practice location 1

8931 Huron St
Thornton, CO 80260-6806
Phone (303) 853-3500

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
I20190104001974 CO Practitioner - Clinical Social Worker 9032455514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Reach Center IncGroup PAC ID 4284526971, 13 clinicians

Practice addresses (Care Compare)

11285 Highline Dr
Northglenn, CO 80233-3076
Phone (303) 853-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Reach Center, Inc CurrentSince Jul 27, 2024 Accepting new patients
Community Reach Center, Inc CurrentSince Jul 27, 2024 Accepting new patients

Locations

11285 Highline Dr
Northglenn, CO 80233
Phone (303) 853-3400

8931 Huron St
Thornton, CO 80260
Phone (303) 853-3433

1870 W 122nd Ave
Ste 100
Westminster, CO 80234
Phone (303) 853-3800

Interoperability endpoints

  • Direct secure messaging: adam.nowicki.p2@direct.communityreachcenter.nextgenshare.com

Organizations & group practices 2

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": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722038400000",
    "number": "1912277666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 W 120TH AVE STE 105",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342458",
            "telephone_number": "303-351-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 W 120TH AVE STE 105",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342458",
            "telephone_number": "303-351-1650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8931 Huron St",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802606806",
            "country_code": "US",
            "telephone_number": "303-853-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOWICKI",
        "first_name": "ADAM",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-11",
        "last_updated": "2024-07-27",
        "certification_date": "2024-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09925704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.