Jennifer Basham, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.09924550 Issued in CO

Practice address

22699 E Rockinghorse Pkwy
Aurora, CO 80016-7920

Phone

(719) 425-1180

NPI assigned

Aug 27, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1710654579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22699 E ROCKINGHORSE PKWY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800167920",
            "telephone_number": "719-425-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22699 E ROCKINGHORSE PKWY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800167920",
            "telephone_number": "719-425-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHAM",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09924550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christan Bartsch, PA-C
• Sarah Kay Bartz, M.D.
• Jacob Basak, M.D., PHD
• Deepashri Basavalingu, MD
• Sarah Kelly Bascand, NP
• Taylor Bashore, APN
• Andrei Baskakov, DDS
• Eric Thompson Basler, M.D.
• Jessica Bass
• Megan Elise Bass, PHARMD

• Clinical Social Worker in Aurora, CO
• Providers in Aurora, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.