Individual provider Active NPI

Jacob Meyer, MSW, LCSW, LAC

  • Clinical Social Worker
  • Lakewood, CO
National Provider Identifier
1326593096
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09929318 Issued in CO
Practice address
510 Dudley St
Lakewood, CO 80226-1158
Phone
(720) 263-1397
NPI assigned
Aug 23, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09929318 CO Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0001340 CO

Addresses

Primary practice location

510 Dudley St
Lakewood, CO 80226-1158

Mailing address

510 Dudley St
Lakewood, CO 80226-1158
Phone (720) 263-1397

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ACD.0001340COMDAddiction (Substance Use Disorder) Counselor
CSW.09929318COMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1326593096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 DUDLEY ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802261158",
            "telephone_number": "720-263-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 DUDLEY ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802261158",
            "telephone_number": "720-263-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "JACOB",
        "credential": "MSW, LCSW, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-23",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09929318",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0001340",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.