Individual provider Active NPI

Jovonna Hale, LICSW

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1669982658
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09931853 Issued in CO
Practice address
12101 E 51St Ave # 80239
Denver, CO 80239-4071
Phone
(206) 954-5217
NPI assigned
Oct 4, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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.09931853 CO Primary
Clinical Social Worker 1041C0700X LW61424914 WA

Addresses

Primary practice location

12101 E 51St Ave # 80239
Denver, CO 80239-4071

Mailing address

12101 E 51St Ave # 80239
Denver, CO 80239-4071
Phone (206) 954-5217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260131000620 CO Practitioner - Clinical Social Worker 5193203107 Reassigns benefits to 1 organization
I20260209002500 WA Practitioner - Clinical Social Worker 5193203107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Dallas, TX 75373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09931853COMDClinical Social Worker
LW61424914WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Jan 1, 2026 Accepting new patients
Good Intention Counseling Services, PLLC Community/Behavioral Health CurrentSince Aug 28, 2022 Accepting new patients
Sondermind, P.a. Mental Health CurrentSince Jan 1, 2026 Accepting new patients
Corner H.Y.P.E Inc. Clinical Past Accepting new patients

Locations

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

1400 112th Ave SE
Ste 100
Bellevue, WA 98004
Phone (425) 455-2526

8400 5th Ave NE
Apt 8
Seattle, WA 98115
Phone (206) 427-4679

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": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1669982658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12101 E 51ST AVE # 80239",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802394071",
            "telephone_number": "206-954-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12101 E 51ST AVE # 80239",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802394071",
            "telephone_number": "206-954-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "JOVONNA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-04",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09931853",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61424914",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.