Active NPI
Jackie L Murphy, LCSW
- Clinical Social Worker
- Woodland Park, CO
National Provider Identifier
1053467431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.09923010
- Practice address
- 63 Park Cir
Woodland Park, CO 80863-8239 - Phone
- (862) 432-5211
- NPI assigned
- Jan 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 258973 | KY | |
| Clinical Social Worker | 1041C0700X | CSW.09923010 | CO | Primary |
| Clinical Social Worker | 1041C0700X | 44SC05379900 | NJ | |
| Clinical Social Worker | 1041C0700X | 12996868-3501 | UT | |
| Clinical Social Worker | 1041C0700X | CW023094 | PA |
Addresses
Primary practice location
63 Park Cir
Woodland Park, CO 80863-8239
Mailing address
63 Park Cir
Woodland Park, CO 80863-8239
Phone (862) 432-5211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW.09923010 | CO | MD | Clinical Social Worker |
| 258973 | KY | MD | Clinical Social Worker |
| 44SC05379900 | NJ | MD | Clinical Social Worker |
| CW023094 | PA | MD | Clinical Social Worker |
| 12996868-3501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Place for Hope and Healing | Clinical | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Hackettstown, NJ
- NPI 1689971251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718582400000",
"number": "1053467431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 PARK CIR",
"city": "WOODLAND PARK",
"state": "CO",
"postal_code": "808638239",
"telephone_number": "862-432-5211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 PARK CIR",
"city": "WOODLAND PARK",
"state": "CO",
"postal_code": "808638239",
"telephone_number": "862-432-5211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURPHY",
"first_name": "JACKIE",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "258973",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09923010",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05379900",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "12996868-3501",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW023094",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodland Park, CO
- Brent K Morrill, DDS
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- Mountain View Counseling, LLC
- Mrs Carols Apothecary
- Nicole Meyerkopf Vasquez Murray, CSW, MSW
- My Local Colorado Dental Practice, LLC (Woodland Park Dental Group)
- Janet G Nelson, PHARM D
- New Visions Recovery Solutions
- Brenda Irene Ongley, CCC - SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.