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NOAH DOHM LCSW, LAC
NPI 1265121057
Social Worker - Clinical in Denver, CO

Active since May 05, 2023PECOS Enrolled
4455 E 12TH AVE, DENVER, CO 80220(303) 504-7700 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 2, 2026, Dec 19, 2024, May 5, 2023 (3 updates tracked since 2023).

About Noah Dohm Lcsw, Lac NPPES

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

NOAH DOHM LCSW, LAC (NPI 1265121057) is an individual clinical provider in Denver, Colorado, licensed in Colorado (CSW.09931200) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1265121057
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameNOAH DOHMCredential: LCSW, LAC
Location Address4455 E 12TH AVEDenver, CO 80220-2415
Mailing Address4141 E Dickenson PlDenver, CO 80222-6012 · (303) 504-6500
Phone(303) 504-7700
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 5, 2023
Last NPPES UpdateMarch 2, 20263 updates tracked since enumeration
NPPES CertifiedMarch 2, 2026
✔ NPI 1265121057 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 · CSW.09931200
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 ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License ACD.0002575 (CO)
4455 E 12TH AVE, Denver, CO 80220
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Noah Dohm Lcsw, Lac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153858238
PECOS Enrollment IDI20241231003534
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80220 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEFAN MICHAEL BUMOL
Psychiatry & Neurology (Psychiatry)
4455 E 12TH AVE
DENVER, CO 80220
Denver County (303) 504-7700
WHITNEY GOODWIN
Case Manager/Care Coordinator
4455 E 12TH AVE
DENVER, CO 80220
Denver County (303) 504-7700
CHARLOTTE SCHNEIDER LPN
Licensed Practical Nurse
4455 E 12TH AVE
DENVER, CO 80220
Denver County (303) 504-7882
AZIYAH PATTERSON
Case Manager/Care Coordinator
4455 E 12TH AVE
DENVER, CO 80220
Denver County (303) 504-7700
LAURA ANN OLSON LCSW
Social Worker (Clinical)
4455 E 12TH AVE
DENVER, CO 80220
Denver County (303) 504-7668
MRS. ELANNA SOPHIA TRYON LPC
Counselor (Professional)
4455 E 12TH AVE
DENVER, CO 80220
Denver County (303) 504-7707
CHARLES ELIAS KORANSKY MD
Psychiatry & Neurology (Psychiatry)
4455 E 12TH AVE
DENVER, CO 80220
Denver County (303) 504-7700
ASHLEY MARIN DAVIS MSW
Case Manager/Care Coordinator
4455 E 12TH AVE
DENVER, CO 80220
Denver County (303) 504-6500

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 Noah Dohm's NPI number?

The NPI number for Noah Dohm is 1265121057. It was assigned to this individual provider in the NPPES registry on May 5, 2023.

Where is Noah Dohm located?

Noah Dohm practices at 4455 E 12th Ave, Denver, CO 80220. The listed phone number is (303) 504-7700.

What is Noah Dohm's specialty?

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

Is Noah Dohm enrolled in Medicare?

Yes. Noah Dohm is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Noah Dohm was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.