Active NPI
Jenny Decker, LICSW
- Clinical Social Worker
- Fort Collins, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.09931596
- Practice address
- 4856 Innovation Dr
Fort Collins, CO 80525-5539 - Phone
- (970) 494-4200
- Fax
- (844) 270-1824
- NPI assigned
- May 2, 2017
- Last updated
- Jun 24, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW.09931596 | CO | Primary |
Addresses
Primary practice location
4856 Innovation Dr
Fort Collins, CO 80525-5539
Mailing address
4856 Innovation Dr
Fort Collins, CO 80525-5539
Phone (970) 494-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, WY, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- High Country Behavioral Health
Practice addresses (Care Compare)
1248 E 17TH St
Idaho Falls, ID 83404-6147
Phone (208) 542-1026
389 Adams St
Afton, WY 83110-5056
Phone (307) 885-9883
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW.09931596 | CO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summitstone Health Partners | Current | Accepting new patients | |
| High Country Behavioral Health | Current | Accepting new patients | |
| High Country Behavioral Health | Current | Accepting new patients | |
| High Country Behavioral Health | Current | Accepting new patients | |
| Summitstone Health Partners | Current | Accepting new patients | |
| High Country Behavioral Health | Current | Accepting new patients | |
| Summitstone Health Partners | Current | Accepting new patients | |
| Summitstone Health Partners | Past | Accepting new patients | |
| Longview Behavioral Health | Past | Accepting new patients | |
| Longview Behavioral Health | Past | Accepting new patients | |
| Longview Behavioral Health | Past | Accepting new patients | |
| Longview Behavioral Health | Past | Accepting new patients |
Locations
1008 Patton St
Fort Collins, CO 80524
Phone (970) 494-5729
4102 S Timberline Rd
Fort Collins, CO 80525
Phone (970) 494-5728
4856 Innovation Dr
Fort Collins, CO 80525
1248 E 17th St
Idaho Falls, ID 83404
Phone (208) 542-1026
2420 E 25th St
Idaho Falls, ID 83404
Phone (208) 542-1026
420 S 4th Ave
Pocatello, ID 83201
Phone (208) 478-9081
190 Overthrust Rd
Evanston, WY 82930
Phone (307) 389-5764
Organizations & group practices 12
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fort Collins, CO
- NPI 1821552738
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Idaho Falls, ID
- NPI 1295379865
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Afton, WY
- NPI 1457472748
-
dba Acute Care Facility at Longview
- Adult Mental Health Clinic/Center
- Fort Collins, CO
- NPI 1154135861
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fort Collins, CO
- NPI 1962248757
-
- Mental Illness Community Based Residential Treatment Facility
- Douglas, WY
- NPI 1750113882
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Big Piney, WY
- NPI 1871325910
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fort Collins, CO
- NPI 1164269809
-
- Community/Behavioral Health Agency
- Fort Collins, CO
- NPI 1699536045
-
- Professional Counselor
- Fort Collins, CO
- NPI 1700567096
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Fort Collins, CO
- NPI 1992486278
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fort Collins, CO
- NPI 1023799301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1497281067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4856 INNOVATION DR",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805255539",
"telephone_number": "970-494-4200",
"fax_number": "844-270-1824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4856 INNOVATION DR",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805255539",
"telephone_number": "970-494-4200",
"fax_number": "844-270-1824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECKER",
"first_name": "JENNY",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-02",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09931596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.