KENZIE BOHM (LCSW) – Clinical Social Worker, NPI 1629521760

KENZIE BOHM (LCSW) is a healthcare provider. based in Denver, Colorado. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. CSW.09926074 (CO). The NPI Number for KENZIE BOHM (LCSW) is 1629521760

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KENZIE BOHM (LCSW)
NPI
1629521760
Phone
(303) 338-4545
Address
10350 E DAKOTA AVE
Enumeration Date
25 July 2016
Last Update Date
22 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3036755463
Graduation Year
2017 (9 years ago)
PAC ID
2466780929
Group Practice PAC ID
8426031774
Professional Enrollment ID
I20190821002487
Address ID
CO802102310DE1319XSTXX400

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:9State licenses:1Other namesUpdated within 12 months

1,884 CLINICAL SOCIAL WORKER in CO

Provider Addresses for KENZIE BOHM (LCSW)

  • 10350 E DAKOTA AVE

    DENVER, CO 802471314

    Phone: (303) 338-4545

    Type: Location

  • 4800 Telluride St

    Denver, CO 80249

    Phone: (720) 423-7600

    Type: Location

  • 3401, Eudora Street, Denver, Denver County, Colorado, 80207, United States

    DENVER, CO 802072500

    Phone:

    Type: Mailing

  • Evie Garrett Dennis Campus, 4800, Telluride Street, Denver, Colorado, 80249, United States

    DENVER, CO 80249

    Phone: (720) 423-7600

    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: 2019-08-21

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
I20190821002487IClinical 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 80247)

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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: 8426031774View full group profile
NameSpecialtyState
Mental Health CounselorCO
Clinical Social WorkerCO
Clinical Social WorkerCO
Clinical Social WorkerCO
Clinical Social WorkerCO
Mental Health CounselorCO
Clinical Social WorkerCO
-CO
Clinical Social WorkerCO
Clinical Social WorkerCO

Reviews

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Frequently asked questions

Does KENZIE BOHM (LCSW) have a public NPI I can cite?
Public records show KENZIE BOHM (LCSW) under NPI 1629521760.
Is KENZIE BOHM (LCSW)'s NPI status active today?
Active status means KENZIE BOHM (LCSW)'s NPI record is not deactivated in the public file.
What type of care does KENZIE BOHM (LCSW) provide?
KENZIE BOHM (LCSW)'s profile centers on Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Which community is linked to KENZIE BOHM (LCSW)?
KENZIE BOHM (LCSW) shows a connection to Denver, 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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