Individual provider Active NPI

Jessica Gershwin, LCSW

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1386029916
Registry record updated Jul 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09924025 Issued in CO
Practice address
2149 Federal Blvd
Denver, CO 80211-4639
Phone
(303) 825-3850
NPI assigned
Jul 24, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2015

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 09924025 CO Primary

Addresses

Primary practice location

2149 Federal Blvd
Denver, CO 80211-4639

Mailing address

9551 W 38TH Ave
Wheat Ridge, CO 80033-4225
Phone (720) 220-7525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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

Enrollment IDStateProvider typePAC IDDetails
I20200407001742 VT Practitioner - Clinical Social Worker 5294164513 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09924025COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Health Systems P.C. CurrentSince Apr 1, 2020 Accepting new patients
Heartful Roots, PLLC Clinical Current Accepting new patients
Denver Children'S Advocacy Center Past Accepting new patients

Locations

112 Lake St
Burlington, VT 05401
Phone (802) 999-4739

86 Lake St
Burlington, VT 05401
Phone (802) 862-8595

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1386029916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9551 W 38TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334225",
            "telephone_number": "720-220-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802114639",
            "telephone_number": "303-825-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSHWIN",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-24",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09924025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.