Active NPI
Jasmin Roberson Kelly, MSW LCSW
- Social Worker
- Thornton, CO
National Provider Identifier
1710398680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- CSW.09924686
- Practice address
- 8931 Huron St
Thornton, CO 80260-6806 - Phone
- (303) 853-3500
- NPI assigned
- May 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | CSW.09924686 | CO | Primary |
Addresses
Primary practice location
8931 Huron St
Thornton, CO 80260-6806
Mailing address
8931 Huron St
Thornton, CO 80260-6806
Phone (303) 853-3500
Other names 1
- Jasmin Bermas Roberson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW.09924686 | CO | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1710398680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8931 HURON ST",
"city": "THORNTON",
"state": "CO",
"postal_code": "802606806",
"telephone_number": "303-853-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8931 HURON ST",
"city": "THORNTON",
"state": "CO",
"postal_code": "802606806",
"telephone_number": "303-853-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "JASMIN",
"middle_name": "ROBERSON",
"credential": "MSW LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-14",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CO",
"license": "CSW.09924686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JASMIN",
"last_name": "ROBERSON",
"middle_name": "BERMAS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.