Individual provider Active NPI

Jennifer Ashley Gennaro, LMSW

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1255771960
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9924304 Issued in CO
Practice address
8269 E 23Rd Ave Ste 100B
Denver, CO 80238-3557
Phone
(720) 316-8110
NPI assigned
Jun 26, 2013
Last updated
Jun 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LMSW8875 KS
Clinical Social Worker 1041C0700X 9924304 CO Primary

Addresses

Primary practice location

8269 E 23Rd Ave Ste 100B
Denver, CO 80238-3557

Mailing address

8269 E 23Rd Ave Ste 100B
Denver, CO 80238-3557
Phone (720) 316-8110

Other identifiers 1

IdentifierTypeStateIssuer
49705041MedicaidCO

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
I20170224001624 CO Practitioner - Clinical Social Worker 0042594780 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMSW8875KSMDSocial Worker
9924304COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Gennaro Prokopchik Clinical CurrentSince Jul 7, 2016 Accepting new patients
Jennifer Gennaro Prokopchik Clinical PastSince Jan 3, 2017 Accepting new patients
Jennifer Gennaro Prokopchik Clinical PastSince Jan 3, 2017 Accepting new patients

Locations

2373 Central Park Blvd
Unit 100
Denver, CO 80238
Phone (720) 316-8110

8269 E 23rd Ave
Ste 100B
Denver, CO 80238
Phone (720) 316-8110

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, 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": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1255771960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8269 E 23RD AVE STE 100B",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802383557",
            "telephone_number": "720-316-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8269 E 23RD AVE STE 100B",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802383557",
            "telephone_number": "720-316-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENNARO",
        "first_name": "JENNIFER",
        "middle_name": "ASHLEY",
        "name_prefix": "Miss",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "LMSW8875",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "9924304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49705041",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.