Dorothy Jimenez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1963 Issued in CO

Practice address

601 Red Mountain Rd
Livermore, CO 80536-8903

Phone

(970) 568-2905

NPI assigned

Oct 25, 2011

Reactivated

Nov 18, 2020

Sex

Female

Sole proprietor

No

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.

• Meridian Wellness Services

  • Clinical Social Worker
  • Livermore, CO
  • NPI 1841061256

  Clinical

  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (1 of 5)

Networks

• CO HMO C-SNP
• CO HMO
• CO HMO D-SNP
• devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a

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

Specialties & licenses 2

Addresses

Other names 1

• Dorothy Farrel Former name

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688256000000",
    "number": "1043596885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 RED MOUNTAIN RD",
            "city": "LIVERMORE",
            "state": "CO",
            "postal_code": "805368903",
            "telephone_number": "970-568-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 RED MOUNTAIN RD",
            "city": "LIVERMORE",
            "state": "CO",
            "postal_code": "805368903",
            "telephone_number": "970-568-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "DOROTHY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-25",
        "last_updated": "2023-07-02",
        "certification_date": "2023-07-02",
        "deactivation_date": "2019-05-08",
        "reactivation_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "1963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOROTHY",
            "last_name": "FARREL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bailey Dutko, CSW
• Sandra Jo Furge, LPC
• Meghan Gray, DACM
• Tara Hatfield-Ramirez
• Nina Marie Perez Jackson, MOT,OTR/L
• Rianna Elizabeth Faith Laskovich, LCSW
• Amanda L Maguire, LCSW
• Virginia Jones Martin, BA, LPN, CLC
• Meridian Wellness Services
• Military & Veteran Advocacy of Northern Colorado, LLC

• All providers in Livermore, CO
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.