Individual provider Active NPI

Jessica Lynn Allen, LCSW, MSW

  • Clinical Social Worker
  • Lakewood, CO
National Provider Identifier
1104010545
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.00001806 Issued in CO
Practice address
9485 W Colfax Ave
Lakewood, CO 80215-3918
Phone
(303) 425-0300
NPI assigned
Aug 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.00001806 CO Primary

Addresses

Primary practice location

9485 W Colfax Ave
Lakewood, CO 80215-3918

Mailing address

9485 W Colfax Ave
Lakewood, CO 80215-3918
Phone (303) 425-0300

Other names 1

  • Ms. Jessica Lynn Bagley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240402000917 CO Practitioner - Clinical Social Worker 8527406115 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.00001806COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Center for Mental Health CurrentSince Feb 4, 2024 Accepting new patients
Jefferson Center for Mental Health Mental Health CurrentSince Feb 4, 2024 Accepting new patients

Locations

7828 Vance Dr
Arvada, CO 80003
Phone (303) 425-5700

16280 W 64th Ave
Arvada, CO 80007
Phone (720) 898-1110

12055 W 2nd Pl
Lakewood, CO 80228
Phone (303) 425-4480

5801 W Alameda Ave
Lakewood, CO 80226
Phone (303) 432-5444

3595 S Teller St
Ste 200
Lakewood, CO 80235
Phone (720) 713-0587

9485 W Colfax Ave
Lakewood, CO 80215
Phone (303) 432-5200

4851 Independence St
Ste 200
Wheat Ridge, CO 80033

4851 Independence St
Ste 100
Wheat Ridge, CO 80033
Phone (303) 456-5495

9595 W 49th Ave
Wheat Ridge, CO 80033
Phone (303) 425-6328

4851 Independence St
Wheat Ridge, CO 80033
Phone (303) 432-5115

Organizations & group practices 2

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": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1104010545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9485 W COLFAX AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802153918",
            "telephone_number": "303-425-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9485 W COLFAX AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802153918",
            "telephone_number": "303-425-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.00001806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BAGLEY",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.