Individual provider Active NPI

Jenifer R. Fischer, LCSW

  • Clinical Social Worker
  • Longmont, CO
National Provider Identifier
1194023978
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09923718 Issued in CO
Practice address
350 Terry St Ste 320
Longmont, CO 80501-5490
Phone
(970) 310-3406
NPI assigned
Mar 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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 09923718 CO Primary

Addresses

Primary practice location

350 Terry St Ste 320
Longmont, CO 80501-5490

Mailing address

350 Terry St Ste 320
Longmont, CO 80501-5490
Phone (970) 310-3406

Other practice location 1

1630 Dry Creek Dr Ste 100-B
Longmont, CO 80503-6409
Phone (970) 310-3406

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
I20150505000108 CO Practitioner - Clinical Social Worker 2668791104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heart Centered Counseling PCGroup PAC ID 8628373651, 296 clinicians

Practice addresses (Care Compare)

1630 Dry Creek Dr
Suite 100B
Longmont, CO 80503-6405
Phone (970) 310-3406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09923718COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Centered Counseling, PC Clinical Current Accepting new patients
Heart Centered Counseling, PC Clinical CurrentSince Jan 25, 2023 Accepting new patients
Heart Centered Counseling, PC Clinical CurrentSince Jan 25, 2023 Accepting new patients

Locations

1770 25th Ave
Ste 206
Greeley, CO 80634
Phone (303) 664-5281

350 Terry St
Ste 320
Longmont, CO 80501
Phone (303) 746-0342

1630 Dry Creek Dr
Ste 100-B
Longmont, CO 80503
Phone (913) 244-3563

Organizations & group practices 3

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": "1299110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1194023978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 TERRY ST STE 320",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805015490",
            "telephone_number": "970-310-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 TERRY ST STE 320",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805015490",
            "telephone_number": "970-310-3406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1630 Dry Creek Dr Ste 100-B",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805036409",
            "country_code": "US",
            "telephone_number": "970-310-3406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "JENIFER",
        "middle_name": "R.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-03",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09923718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.