Individual provider Active NPI

Jazmond Miller

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1326785536
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09928132 Issued in CO
Practice address
1295 York St
Denver, CO 80206-3008
Phone
(708) 527-4251
NPI assigned
May 18, 2022
Last updated
May 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09928132 CO Primary

Addresses

Primary practice location

1295 York St
Denver, CO 80206-3008

Mailing address

3257 S Parker Rd Apt 3707
Denver, CO 80014-3274
Phone (708) 527-4251

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmiller@thirdwaycenter.org Third Way Center, Inc.

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
CSW.09928132COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy With Jazz, LLC Clinical Current Accepting new patients

Organizations & group practices 1

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": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1326785536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3257 S PARKER RD APT 3707",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "800143274",
            "telephone_number": "708-527-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 YORK ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802063008",
            "telephone_number": "708-527-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JAZMOND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09928132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmiller@thirdwaycenter.org",
            "affiliation": "Y",
            "endpointDescription": "Third Way Center email",
            "affiliationName": "Third Way Center, Inc.",
            "address_1": "1295 York St",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802063008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.