Jane Ambro, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

993051 Issued in CO

Practice address

16154 Rock Crystal Dr
Parker, CO 80134-3305

Phone

(303) 946-5003

NPI assigned

Sep 5, 2012

Last updated

Sep 5, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jane Nicknish Former name

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

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Grit TherapyGroup PAC ID 0547683633, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Grit Therapy

  • Clinical Social Worker
  • Silverthorne, CO
  • NPI 1811537673
  Medicare reassignment Care Compare group NPD
• Grit Therapy

  • Clinical Social Worker
  • Wheat Ridge, CO
  • NPI 1962292961
  NPD (past)
• Memory Bridging Incorporated

  • Cognitive & Behavioral Psychologist
  • Parker, CO
  • NPI 1386827293
  NPD (past)

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1376892356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17688",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804026028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16154 ROCK CRYSTAL DR",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343305",
            "telephone_number": "303-946-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBRO",
        "first_name": "JANE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "993051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "NICKNISH",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Bret Aman
• America's Best Contacts & Eyeglasses
• American Current Care P.a .
• American Current Care PA (Concentra Urgent Care)
• American Surgical & Emergency
• Amg Behavioral Health LLC

• Clinical Social Worker in Parker, CO
• Providers in Parker, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.