Individual provider Active NPI

Jaclyn Ripperger-Harrell, LCSW

  • Clinical Social Worker
  • Lakewood, CO
National Provider Identifier
1760027411
Registry record updated Jul 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2550 Youngfield St # 4
Lakewood, CO 80215-1033
Phone
(720) 324-7939
NPI assigned
Nov 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2024

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
Clinical Social Worker 1041C0700X CO Primary

Addresses

Primary practice location

2550 Youngfield St # 4
Lakewood, CO 80215-1033

Mailing address

2903 Lookout View Dr
Golden, CO 80401-2521
Phone (785) 764-2256

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
I20201005002793 CO Practitioner - Clinical Social Worker 9032538343 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2903 Lookout View Dr
Golden, CO 80401-2521
Phone (720) 324-7939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Feb 3, 2021 Accepting new patients
South Table Wellness CurrentSince Nov 12, 2023 Accepting new patients

Locations

1738 Wynkoop St
Ste 303
Denver, CO 80202
Phone (720) 263-0260

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

2550 Youngfield St
Ste 4
Lakewood, CO 80215

2550 Youngfield St
#4
Lakewood, CO 80215
Phone (720) 324-7939

12157 W Cedar Dr
Ste 200
Lakewood, CO 80228
Phone (720) 513-1215

Organizations & group practices 2

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": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720828800000",
    "number": "1760027411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 LOOKOUT VIEW DR",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804012521",
            "telephone_number": "785-764-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 YOUNGFIELD ST # 4",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802151033",
            "telephone_number": "720-324-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIPPERGER-HARRELL",
        "first_name": "JACLYN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-15",
        "last_updated": "2024-07-13",
        "certification_date": "2024-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.