Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1447499595 Individual Practitioner Male Practitioner

Jeff R Kisicki , LCSW

Specialist • Denver, CO

Professional Overview & Biography Verified Profile Summary

Jeff Kisicki, LCSW is a registered healthcare professional specializing in Specialist in Denver, CO. Practice services are available at 2480 W 26TH AVE STE 130B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2480 W 26th Ave Ste 130b

Denver, CO 802115327

Telephone 3034330188
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Denver, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.8 Yrs
State Avg: 33.7 Yrs
Regional Practice Density
252 Specialists

Practicing in Denver, CO (1204 Statewide)

Telehealth Adoption Rate
0.8% 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CO LCSW # 992298

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Corporate Tax Id #
20-1516883 (CO)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Marci Brewer , MSW, LCSW

Social Worker - Clinical

NPI 1689894545

Master of Social Work, Licensed Clinical Social Worker

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 12, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location February 12, 2009

Registered at 2480 W 26TH AVE STE 130B, DENVER, CO 802115327 (Tel: 3034330188)

📍
Updated Business Mailing Address February 12, 2009

Registered at 2480 W 26TH AVE STE 130B, DENVER, CO 802115327 (Tel: 3034330188)

👤
Provider Name / Credentials Updated February 12, 2009

Recorded as JEFF KISICKI, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2009

Specialist (License #LCSW # 992298 in CO)

🟢
Initial NPI Registration & Enumeration February 12, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1447499595
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 12, 2009
Last Update: February 12, 2009
Sole Proprietor: No

Mailing Address

2480 W 26th Ave Ste 130b

Denver, CO 802115327

Phone: 3034330188

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.