MS. KATHARINE FULLER NILES (LCSW) – Clinical Social Worker, NPI 1154608297

MS. KATHARINE FULLER NILES (LCSW) is a healthcare provider. based in Durango, Colorado. specializing in Clinical Social Worker. They hold the professional credentials LCSW. They hold a License No. 952 (CO). The NPI Number for MS. KATHARINE FULLER NILES (LCSW) is 1154608297

Main info

Female
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
MS. KATHARINE FULLER NILES (LCSW)
NPI
1154608297
Phone
(970) 759-1868
Address
1920 EASTLAWN AVE
Enumeration Date
3 November 2011
Last Update Date
26 February 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4013561940
Graduation Year
2001 (25 years ago)
PAC ID
3779916101
Group Practice PAC ID
8628973666
Professional Enrollment ID
I20191125003165
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:14State licenses:2Digital endpointsOther names

Provider Addresses for MS. KATHARINE FULLER NILES (LCSW)

  • 1920 EASTLAWN AVE

    DURANGO, CO 813014833

    Phone: (970) 759-1868

    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: 2019-11-25

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
I20191125003165IClinical Social WorkerRITBD

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 81301)

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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: 8628973666View full group profile
NameSpecialtyState
Clinical PsychologistVT
Nurse PractitionerRI
Psychiatry, Geriatric MedicineRI
-NY
P S Y C H I A T R YRI
P S Y C H I A T R YRI
Clinical Social WorkerRI
-RI
Clinical PsychologistRI
-RI

Reviews

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Frequently asked questions

What identifier follows MS. KATHARINE FULLER NILES (LCSW) across health systems?
The NPI 1154608297 uniquely identifies MS. KATHARINE FULLER NILES (LCSW) in U.S. healthcare data.
Is MS. KATHARINE FULLER NILES (LCSW) currently accepting referrals based on NPI status?
Registry metadata lists MS. KATHARINE FULLER NILES (LCSW) as active.
What does the directory say MS. KATHARINE FULLER NILES (LCSW) does?
Insurance directories may phrase it differently, but here MS. KATHARINE FULLER NILES (LCSW) maps to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is MS. KATHARINE FULLER NILES (LCSW) tied to Durango, Colorado?
If you are local to Durango, Colorado, MS. KATHARINE FULLER NILES (LCSW) may be relevant to your search.
Who maintains MS. KATHARINE FULLER NILES (LCSW)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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