Individual provider Active NPI

Jacqueline Weast, LCSW

  • Clinical Social Worker
  • Glenwood Springs, CO
National Provider Identifier
1578041323
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09925413 Issued in CO
Practice address
1905 Blake Ave Ste 201
Glenwood Springs, CO 81601-4286
Phone
(970) 947-9999
Fax
(970) 947-9226
NPI assigned
Aug 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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.09925413 CO Primary

Addresses

Primary practice location

1905 Blake Ave Ste 201
Glenwood Springs, CO 81601-4286

Mailing address

1905 Blake Ave Ste 201
Glenwood Springs, CO 81601-4286
Phone (970) 947-9999

Other practice location 1

1960 N Ogden St Ste 460
Denver, CO 80218-3670
Phone (303) 318-2502

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
I20190130001134 CO Practitioner - Clinical Social Worker 3375880206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley View Hospital AssociationGroup PAC ID 1850294778, 205 clinicians

Practice addresses (Care Compare)

1906 Blake Ave
Glenwood SPGS, CO 81601-4227
Phone (970) 384-6707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09925413COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Valley View Hospital Association Current Accepting new patients
Valley View Hospital Association CurrentSince Jan 1, 2021 Accepting new patients
Valley View Hospital Association CurrentSince Jan 1, 2021 Accepting new patients

Locations

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

1905 Blake Ave
Ste 201
Glenwood Springs, CO 81601
Phone (970) 947-9999

Organizations & group practices 4

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": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1578041323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 BLAKE AVE STE 201",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014286",
            "telephone_number": "970-947-9999",
            "fax_number": "970-947-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 BLAKE AVE STE 201",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014286",
            "telephone_number": "970-947-9999",
            "fax_number": "970-947-9226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1960 N Ogden St Ste 460",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802183670",
            "country_code": "US",
            "telephone_number": "303-318-2502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAST",
        "first_name": "JACQUELINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09925413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood Springs, CO

Sources for this page

Verify at the official NPI Registry.