Individual provider Active NPI

Jennifer F Helton-Davis, LCSW

  • Clinical Social Worker
  • Littleton, CO
National Provider Identifier
1457471591
Registry record updated Apr 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
992337 Issued in CO
Practice address
2993 W Long Dr
Unit D
Littleton, CO 80120-8169
Phone
(720) 939-3805
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2014

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 992337 CO Primary

Addresses

Primary practice location

2993 W Long Dr
Unit D
Littleton, CO 80120-8169

Mailing address

2993 W Long Dr
Unit D
Littleton, CO 80120-8169
Phone (720) 939-3805

Other identifiers 1

IdentifierTypeStateIssuer
91977843MedicaidCO

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
I20140922001383 CO Practitioner - Clinical Social Worker 7618196726 Practice locations: Littleton, CO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12573 W Hoover Ave
Littleton, CO 80127-4815
Phone (720) 939-3805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
992337COMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396828800000",
    "number": "1457471591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2993 W LONG DR",
            "address_2": "UNIT D",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801208169",
            "telephone_number": "720-939-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2993 W LONG DR",
            "address_2": "UNIT D",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801208169",
            "telephone_number": "720-939-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELTON-DAVIS",
        "first_name": "JENNIFER",
        "middle_name": "F",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2014-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "992337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91977843",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.