Individual provider Active NPI

Jennifer Hubbard

  • Clinical Social Worker
  • Arvada, CO
National Provider Identifier
1144632647
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09924612 Issued in CO
Practice address
8175 Sheridan Blvd Unit N
Arvada, CO 80003-1928
Phone
(303) 557-0855
Fax
(720) 336-3149
NPI assigned
Jun 2, 2014
Last updated
Mar 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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.09924612 CO Primary

Addresses

Primary practice location

8175 Sheridan Blvd Unit N
Arvada, CO 80003-1928

Mailing address

8175 Sheridan Blvd Unit N
Arvada, CO 80003-1928
Phone (303) 557-0855

Other practice location 1

1692 Wadsworth Blvd
Lakewood, CO 80214-5233
Phone (303) 557-9747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170112000684 CO Practitioner - Clinical Social Worker 4284915976 Reassigns benefits to 1 organization
I20241107000456 TX Practitioner - Clinical Social Worker 4284915976 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09924612COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Iora Health Texas, PLLC Current Accepting new patients
Iora Health Texas, PLLC CurrentSince Sep 1, 2024 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Oct 1, 2024 Accepting new patients
Iora Health Texas, PLLC CurrentSince Sep 1, 2024 Accepting new patients
Iora Health, LLC Past Accepting new patients
Iora Health Massachusetts, P.C. Past Accepting new patients
Iora Health Texas, PLLC PastSince Oct 12, 2025 Accepting new patients

Locations

1 Embarcadero Ctr
Fl 19
San Francisco, CA 94111
Phone (415) 814-0927

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

101 Tremont St
Fl 6
Boston, MA 02108

4414 North Fwy
Ste 300
Houston, TX 77022
Phone (713) 589-8643

9440A Highway 6 S
Houston, TX 77083
Phone (281) 408-4488

Interoperability endpoints

  • Direct secure messaging: jennifer.hubbard.1@27127.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1144632647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8175 SHERIDAN BLVD UNIT N",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800031928",
            "telephone_number": "303-557-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8175 SHERIDAN BLVD UNIT N",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800031928",
            "telephone_number": "303-557-0855",
            "fax_number": "720-336-3149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1692 Wadsworth Blvd",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802145233",
            "country_code": "US",
            "telephone_number": "303-557-9747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09924612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.