Individual provider Active NPI

Janae Nelson, LCSW

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1023108198
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1030 Issued in CO
Practice address
2993 Broadmoor Valley Rd Ste 105C
Colorado Springs, CO 80906-1439
Phone
(719) 244-3662
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 125 CO
Clinical Social Worker 1041C0700X 6683 KS
Clinical Social Worker 1041C0700X 1030 CO Primary

Addresses

Primary practice location

2993 Broadmoor Valley Rd Ste 105C
Colorado Springs, CO 80906-1439

Mailing address

PO Box 1085
Monument, CO 80132-1085
Phone (801) 231-0989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2026 through Jul 1, 2028

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

445 E Kings Deer PT
Monument, CO 80132-2815

5554 Malaya St
Denver, CO 80249-8653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1030COMDPsychologist
6683KSMDClinical Social Worker
125COMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Safeside Counseling, LLC CurrentSince Sep 30, 2012 Accepting new patients

Locations

2993 Broadmoor Valley Rd
Ste 105C
Colorado Springs, CO 80906
Phone (719) 244-3662

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1023108198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1085",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801321085",
            "telephone_number": "801-231-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2993 BROADMOOR VALLEY RD STE 105C",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809061439",
            "telephone_number": "719-244-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JANAE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "125",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "6683",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "1030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.