Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740798990 Individual Practitioner Female Practitioner

Kaley Kettering , LCSW

Social Worker - Clinical • Boulder, CO

Professional Overview & Biography Verified Profile Summary

Kaley Kettering, LCSW is a registered healthcare professional specializing in Social Worker - Clinical in Boulder, CO. Practice services are available at 1630 30TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1630 30th St

Boulder, CO 803011044

Telephone 3036739990
Associated Practice Facility / Clinic
🏢 Flatirons Behavioral Health Facility NPI 1023063534

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Boulder, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.5 Yrs
State Avg: 17.4 Yrs
Regional Practice Density
323 Specialists

Practicing in Boulder, CO (7500 Statewide)

Telehealth Adoption Rate
6.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License CO CSW.09924672

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Dora
CSW.09924672 (CO)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Joseph Gordon , MSN

Registered Nurse - Psychiatric/Mental Health

NPI 1033050760

Master of Science in Nursing

Danielle Corff

Registered Nurse

NPI 1033090741
Alexandria Selenke , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1316503139

Psychiatric-Mental Health Nurse Practitioner

Dr. Roderick O'brien , MD

Psychiatry & Neurology - Psychiatry

NPI 1487686325

Doctor of Medicine (M.D.)

Michael Chamberlain

Psychiatry & Neurology - Psychiatry

NPI 1609339506
Dr. Nancy Burlak , EdD, LMFT

Marriage & Family Therapist

NPI 1609421130

Doctor of Education (Ed.D.), Licensed Marriage and Family Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address May 30, 2018

Registered at 1630 30TH ST BOULDER, SUITE A PMB 496, BOULDER, CO 80301

📍
Updated Practice Location April 16, 2018

Registered at 1630 30TH ST, BOULDER, CO 803011044 (Tel: 9999999999)

NPI Profile Active January 22, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 22, 2018

Registered at 715 S LAFAYETTE DR APT 216, LAFAYETTE, CO 800263554 (Tel: 2533890127)

📍
Updated Business Mailing Address January 22, 2018

Registered at 715 S LAFAYETTE DR APT 216, LAFAYETTE, CO 800263554

👤
Provider Name / Credentials Updated January 22, 2018

Recorded as KALEY KETTERING, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2018

Social Worker (License #CSW.09924672 in CO)

🟢
Initial NPI Registration & Enumeration January 22, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Kaley Kettering. Be the first to share your experience!

Sign in to leave a review for Kaley Kettering

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1740798990
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2018
Last Update: May 30, 2018
Sole Proprietor: No

Mailing Address

1630 30th St Boulder, Suite A Pmb 496

Boulder, CO 80301

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.