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MS. KATHARINE FULLER NILES LCSW
NPI 1154608297
Social Worker - Clinical in Durango, CO

Active since November 03, 2011PECOS Enrolled
1920 EASTLAWN AVE, DURANGO, CO 81301(970) 757-1868 Get Directions Write a Review

NPPES record last updated: February 26, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Ms. Katharine Fuller Niles Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KATHARINE FULLER NILES LCSW (NPI 1154608297) is an individual clinical provider in Durango, Colorado, licensed in Colorado (CSW09923432) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154608297
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KATHARINE FULLER NILESCredential: LCSW
Location Address1920 EASTLAWN AVEDurango, CO 81301-4833
Mailing Address1920 Eastlawn AveDurango, CO 81301-4833 · (970) 759-1868
Phone(970) 757-1868
Sole ProprietorYes
Enumeration DateNovember 3, 2011
Last NPPES UpdateFebruary 26, 2014
✔ NPI 1154608297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CO · CSW09923432
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License 952 (CO)
1920 EASTLAWN AVE, Durango, CO 81301
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Katharine Fuller Niles Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Katharine Niles reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Plaza Psychology & Psychiatry, Inc.
1,952 mi
Clinical
191 SOCIAL ST STE 180
Woonsocket, RI 02895
  • Reassigned Medicare billing, Rhode Island enrollment
  • 13 clinicians in this Medicare group
NPI 1306890546 (401) 356-1940

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.06 – $174.82
Typical copayment $0.00 (range $14.51 – $43.70)
Most-billed visit code NA
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katharine Niles's NPI number?

The NPI number for Katharine Niles is 1154608297. It was assigned to this individual provider in the NPPES registry on November 3, 2011.

Where is Katharine Niles located?

Katharine Niles practices at 1920 Eastlawn Ave, Durango, CO 81301. The listed phone number is (970) 757-1868.

What is Katharine Niles's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Katharine Niles enrolled in Medicare?

Yes. Katharine Niles is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katharine Niles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katharine Niles reassigns Medicare benefits to Plaza Psychology & Psychiatry, Inc. (Woonsocket, RI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katharine Niles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Katharine Niles was last updated on February 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.