KATIE BRYDON (LCSW, LAC,MAC) – Clinical Social Worker, NPI 1619308194

KATIE BRYDON (LCSW, LAC,MAC) is a healthcare provider. based in Brighton, Colorado. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW, LAC,MAC. They hold a License No. CSW.09924033 (CO). The NPI Number for KATIE BRYDON (LCSW, LAC,MAC) is 1619308194

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
KATIE BRYDON (LCSW, LAC,MAC)
NPI
1619308194
Phone
(720) 878-1461
Address
7030 E 166TH PL
Enumeration Date
9 December 2013
Last Update Date
30 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7204012340
Graduation Year
2013 (13 years ago)
PAC ID
0244504579
Professional Enrollment ID
I20170925002341
Address ID
CO800044974AR10050RDXX302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:12State licenses:2Digital endpointsOther names

1,884 CLINICAL SOCIAL WORKER in CO

Provider Addresses for KATIE BRYDON (LCSW, LAC,MAC)

  • 7030 E 166TH PL

    BRIGHTON, CO 806024714

    Phone: (720) 878-1461

    Type: Location

  • 11857 KEOUGH DR

    NORTHGLENN, CO 802331221

    Phone: (720) 401-2340

    Type: Mailing

  • 10050 RALSTON RD # 1 B/E

    ARVADA, CO 800048000

    Phone: (720) 401-2340

    Type: Location

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: 2017-09-25

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
I20170925002341IClinical 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 80602)

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Reviews

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Frequently asked questions

How do payers reference KATIE BRYDON (LCSW, LAC,MAC)?
For KATIE BRYDON (LCSW, LAC,MAC), use NPI 1619308194 as the unique 10-digit identifier.
Would KATIE BRYDON (LCSW, LAC,MAC) appear as active to a payer?
You can treat KATIE BRYDON (LCSW, LAC,MAC) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is KATIE BRYDON (LCSW, LAC,MAC)?
KATIE BRYDON (LCSW, LAC,MAC) is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
Is KATIE BRYDON (LCSW, LAC,MAC) located near Brighton?
KATIE BRYDON (LCSW, LAC,MAC) currently maps to Brighton, Colorado in this extract.
When was this NPI issued?
Enumeration for KATIE BRYDON (LCSW, LAC,MAC) is noted as December 9, 2013 where the registry provides it.

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