Individual provider Active NPI

Jessica Maria Frederick, LCSW

  • Clinical Social Worker
  • Westminster, CO
National Provider Identifier
1538879671
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09928750 Issued in CO
Practice address
3520 W 92ND Ave
Westminster, CO 80031-3303
Phone
(720) 303-3131
NPI assigned
Nov 30, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09928750 CO Primary
Clinical Social Worker 1041C0700X 088402 NY

Addresses

Primary practice location

3520 W 92ND Ave
Westminster, CO 80031-3303

Mailing address

192 Ash Cir
Erie, CO 80516-6041
Phone (720) 303-3131

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
I20230501001860 CO Practitioner - Clinical Social Worker 3971968777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rocky Mountain Primary Care , PCGroup PAC ID 3779471677, 38 clinicians

Practice addresses (Care Compare)

3520 W 92ND Ave
Suite 104
Westminster, CO 80031-3304
Phone (303) 429-6600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
088402NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Primary Care , PC CurrentSince Jan 1, 2025 Accepting new patients

Locations

5730 Ward Rd
Ste 102
Arvada, CO 80002
Phone (303) 422-6331

8585 W 14th Ave
Ste B-2
Lakewood, CO 80215
Phone (303) 238-1201

3520 W 92nd Ave
Westminster, CO 80031
Phone (303) 429-6600

7625 W 92nd Ave
Westminster, CO 80021
Phone (303) 252-7790

3520 W 92nd Ave
Ste 104
Westminster, CO 80031
Phone (303) 429-6600

Interoperability endpoints

  • Direct secure messaging: jessica.frederick.1@15135.direct.athenahealth.com

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": "1669766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1538879671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 ASH CIR",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805166041",
            "telephone_number": "720-303-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 W 92ND AVE",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800313303",
            "telephone_number": "720-303-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "JESSICA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-30",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09928750",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088402",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.