Individual provider Active NPI

Karen Elizabeth Jolly, MSW

  • Clinical Social Worker
  • Lynchburg, VA
National Provider Identifier
1386112910
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09931211 Issued in CO
Practice address
1000 Jefferson St
Lynchburg, VA 24504-1723
Phone
(719) 569-5560
NPI assigned
Nov 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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.09931211 CO Primary

Addresses

Primary practice location

1000 Jefferson St
Lynchburg, VA 24504-1723

Mailing address

1621 Vickers Dr
Colorado Springs, CO 80918-8122
Phone (719) 359-5522

Other practice location 1

2165 Hollow Brook Dr Ste 30
Colorado Springs, CO 80918-1463
Phone (719) 569-5560

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241231002517 CO Practitioner - Clinical Social Worker 8224565395 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Dec 13, 2024 Accepting new patients

Locations

5755 Mark Dabling Blvd
Ste 360
Colorado Springs, CO 80919
Phone (303) 376-8376

1230 Tenderfoot Hill Rd
Ste 305
Colorado Springs, CO 80906
Phone (719) 203-2014

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1386112910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 VICKERS DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809188122",
            "telephone_number": "719-359-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JEFFERSON ST",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245041723",
            "telephone_number": "719-569-5560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2165 Hollow Brook Dr Ste 30",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809181463",
            "country_code": "US",
            "telephone_number": "719-569-5560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOLLY",
        "first_name": "KAREN",
        "middle_name": "ELIZABETH",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09931211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.