JLK Wellness LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.09923802 Issued in CO

Legal business name

JLK WELLNESS LLC

Practice address

1001 E Bayaud Ave
Apt 1107
Denver, CO 80209-2303

Phone

(860) 573-6753

NPI assigned

Sep 19, 2016

Organization subpart

No

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

Authorized official

Name

Jessica Lynn Konior

Title

Manager/Sole Member

Phone

(860) 573-6753

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474243200000",
    "number": "1306394366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E BAYAUD AVE",
            "address_2": "APT 1107",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802092303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E BAYAUD AVE",
            "address_2": "APT 1107",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802092303",
            "telephone_number": "860-573-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLK WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-19",
        "last_updated": "2016-09-19",
        "status": "A",
        "authorized_official_last_name": "KONIOR",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MANAGER/SOLE MEMBER",
        "authorized_official_telephone_number": "860-573-6753"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09923802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Denver, CO
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.