KAZIAH WHITE – Clinical Social Worker, NPI 1043054612

KAZIAH WHITE is a healthcare provider. based in Wheat ridge, Colorado. specializing in CLINICAL SOCIAL WORKER. They hold a License No. CSW.09932679 (CO). The NPI Number for KAZIAH WHITE is 1043054612

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
KAZIAH WHITE
NPI
1043054612
Phone
(303) 425-0330
Address
4851 INDEPENDENCE ST
Enumeration Date
19 June 2024
Last Update Date
4 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3034250300
Graduation Year
2023 (3 years ago)
PAC ID
2961982145
Group Practice PAC ID
9032018882
Professional Enrollment ID
I20260217001634
Address ID
CO802153918LA9485XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

1,884 CLINICAL SOCIAL WORKER in CO

Provider Addresses for KAZIAH WHITE

  • 4851 INDEPENDENCE ST

    WHEAT RIDGE, CO 800336715

    Phone: (303) 425-0330

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-02-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260217001634IClinical Social WorkerCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80033)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032018882View full group profile
NameSpecialtyState
Clinical Social WorkerCO
P S Y C H I A T R YCO
P S Y C H I A T R YCO
Mental Health CounselorCO
-CO
Mental Health CounselorCO
-CO
-CO
Clinical Social WorkerCO
-CO

Reviews

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Frequently asked questions

What identifier follows KAZIAH WHITE across health systems?
The NPI 1043054612 uniquely identifies KAZIAH WHITE in U.S. healthcare data.
Should I treat KAZIAH WHITE as an active provider?
Patients and plans typically see KAZIAH WHITE as active in the national extract.
What type of care does KAZIAH WHITE provide?
KAZIAH WHITE's profile centers on Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Which community is linked to KAZIAH WHITE?
KAZIAH WHITE shows a connection to Wheat Ridge, Colorado in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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