Individual provider Active NPI

Carmen Maria Jimenez, LCSW

  • Clinical Social Worker
  • Fort Collins, CO
National Provider Identifier
1578840864
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CO2026 Issued in CO
Practice address
2638 Arancia Dr
Fort Collins, CO 80521-4915
Phone
(970) 380-0988
Fax
(970) 808-6104
NPI assigned
Nov 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 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 CO2026 CO Primary

Addresses

Primary practice location

2638 Arancia Dr
Fort Collins, CO 80521-4915

Mailing address

2638 Arancia Dr
Fort Collins, CO 80521-4915
Phone (970) 380-0988

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
I20040318001003 CO Practitioner - Clinical Social Worker 0042100430 Reassigns benefits to 2 organizations
Practice locations: Fort Collins, 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

Practice addresses (Care Compare)

1320 Parkwood Dr
Fort Collins, CO 80525-1933
Phone (970) 380-0988

Merit-based Incentive Payment System (MIPS)

Final score
81.1 of 100Reported as group
Quality
78.73
Promoting interoperability
68
Improvement activities
40
Cost
51.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
CO2026COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado in-Home Counseling CurrentSince Jan 29, 2024 Accepting new patients
Compasion Counseling, Inc. Clinical CurrentSince Jul 9, 2024 Accepting new patients
Compasion Counseling Past Accepting new patients
Joyce Shohet Ackerman, Edd., P.C. Past Accepting new patients

Locations

501 S Cherry St
Ste 820
Denver, CO 80246
Phone (303) 884-9682

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": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1578840864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2638 ARANCIA DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805214915",
            "telephone_number": "970-380-0988",
            "fax_number": "970-808-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2638 ARANCIA DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805214915",
            "telephone_number": "970-380-0988",
            "fax_number": "970-808-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "CARMEN",
        "middle_name": "MARIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-15",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CO2026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.