Individual provider Active NPI

Jason Gregory Stahnke, LCSW

  • Clinical Social Worker
  • Aurora, CO
National Provider Identifier
1285008391
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09923904 Issued in CO
Practice address
6105 S Main St Ste 200
Aurora, CO 80016-5361
Phone
(720) 448-7820
NPI assigned
Dec 1, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09923904 CO Primary
Clinical Social Worker 1041C0700X 0009920176 CO
Clinical Social Worker 1041C0700X 2015019167 MO
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

6105 S Main St Ste 200
Aurora, CO 80016-5361

Mailing address

6105 S Main St
Aurora, CO 80016-5360
Phone (720) 448-7820

Other practice location 1

155 Inverness Dr W
Englewood, CO 80112-5095
Phone (303) 730-8858

Other practice location 2

155 Inverness Dr W
Englewood, CO 80112-5095
Phone (303) 730-8858

Other practice location 3

1430 Olive St Ste 500
Saint Louis, MO 63103-2377
Phone (314) 349-8241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0009920176COMDClinical Social Worker
CSW.09923904COMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1285008391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6105 S MAIN ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800165360",
            "telephone_number": "720-448-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6105 S MAIN ST STE 200",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800165361",
            "telephone_number": "720-448-7820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Inverness Dr W",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801125095",
            "country_code": "US",
            "telephone_number": "303-730-8858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 Inverness Dr W",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801125095",
            "country_code": "US",
            "telephone_number": "303-730-8858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1430 Olive St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631032377",
            "country_code": "US",
            "telephone_number": "314-349-8241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAHNKE",
        "first_name": "JASON",
        "middle_name": "GREGORY",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-01",
        "last_updated": "2021-06-17",
        "certification_date": "2021-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09923904",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "0009920176",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2015019167",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.