Individual provider Active NPI

Jennifer Nicole Leimbach, LCSW

  • Clinical Social Worker
  • Fort Collins, CO
National Provider Identifier
1225608201
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW09926926
Practice address
2625 Redwing Rd Ste 210
Fort Collins, CO 80526-6327
Phone
(970) 599-1205
NPI assigned
Jun 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 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 WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CSW09926926 Primary

Addresses

Primary practice location

2625 Redwing Rd Ste 210
Fort Collins, CO 80526-6327

Mailing address

2701 Blackstone CT
Fort Collins, CO 80525-6106
Phone (480) 381-8269

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
I20210914001582 CO Practitioner - Clinical Social Worker 9638575814 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

608 E Harmony Rd
Suite 302
Fort Collins, CO 80525-3210
Phone (970) 599-1205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Jan 25, 2022 Accepting new patients
Solace Healing of Northern Colorado Clinical CurrentSince Dec 27, 2021 Accepting new patients
Heart Centered Counseling, PC Clinical PastSince Jul 1, 2021 Accepting new patients

Locations

608 E Harmony Rd
Ste 302
Fort Collins, CO 80525
Phone (307) 200-7383

109 Coronado Ct
Bldg 7
Fort Collins, CO 80525
Phone (970) 335-9190

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

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": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1225608201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 BLACKSTONE CT",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805256106",
            "telephone_number": "480-381-8269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 REDWING RD STE 210",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266327",
            "telephone_number": "970-599-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIMBACH",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2023-02-24",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "CSW09926926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.