Jeannie E Walter, L.C.S.W. – Clinical Social Worker

Key facts

NPI: 1669607404
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: 1233 (CO)
Practice address: 155 Inverness Dr W
Suite 200
Englewood, CO 80112-5095
Phone: (303) 779-9676
NPI assigned: May 22, 2009
Sex: Female
Sole proprietor: Yes

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.

Sondermind Provider Network LLC Clinical Social Worker · Denver, CO · NPI 1760854442

Medicare reassignment Care Compare group NPD CLINICAL · CO
Arapahoe Mental Health Center, Inc Mental Health Clinic/Center (Including Community Mental Health Center) · Parker, CO · NPI 1437763968

Medicare reassignment NPD CO
Arapahoe Mental Health Center, Inc Mental Health Clinic/Center (Including Community Mental Health Center) · Littleton, CO · NPI 1336754100

NPD
Arapahoe Mental Health Center, Inc Substance Abuse Rehabilitation Facility · Watkins, CO · NPI 1710868609

NPD

Medicare Care Compare profile

Specialty: Clinical Social Worker
Education: Other, 2005
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Sondermind Provider Network LLC (1,295 clinicians)

Practice addresses (Care Compare)

720 S Colorado Blvd
PH North
Denver, CO 80246-1904
Phone (844) 843-7279

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CO
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20101101000696	CO	Practitioner - Clinical Social Worker	1052505377	Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
1233	CO	MD	Chiropractor

Practice roles

Organization	Specialty	Status	New patients
Arapahoe Mental Health Center, Inc		Current since Aug 27, 2018	Accepting new patients
Arapahoe Mental Health Center, Inc		Current	Accepting new patients
Sondermind Provider Network LLC	Clinical	Current since May 26, 2021	Accepting new patients
Arapahoe Mental Health Center, Inc		Current since Aug 27, 2018	Accepting new patients

Locations

116 Inverness Dr E
Ste 105
Englewood, CO 80112

155 Inverness Dr W
Ste 200
Englewood, CO 80112
Phone (303) 779-9676

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

5524 S Prince St
Littleton, CO 80120
Phone (303) 730-0797

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	1233	CO	Yes

Addresses

Primary practice location

155 Inverness Dr W
Suite 200
Englewood, CO 80112-5095

Mailing address

155 Inverness Dr W
Suite 200
Englewood, CO 80112-5095
Phone (303) 779-9676

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 12, 2014.

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1669607404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 INVERNESS DR W",
            "address_2": "SUITE 200",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125095",
            "telephone_number": "303-779-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 INVERNESS DR W",
            "address_2": "SUITE 200",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125095",
            "telephone_number": "303-779-9676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "JEANNIE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-22",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "1233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

All providers in Englewood, CO · Clinical Social Worker in Colorado

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2014. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.