Individual provider Active NPI

Jennifer Moss, LCSW

  • Clinical Social Worker
  • Wheat Ridge, CO
National Provider Identifier
1770087470
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.00001722 Issued in CO
Practice address
4251 Kipling St Unit 560
Wheat Ridge, CO 80033-6800
Phone
(720) 412-1909
NPI assigned
Mar 19, 2018
Last updated
Sep 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.00001722 CO Primary

Addresses

Primary practice location

4251 Kipling St Unit 560
Wheat Ridge, CO 80033-6800

Mailing address

3635 Leyden St
Denver, CO 80207-1341
Phone (720) 412-1909

Other names 1

  • Jennifer Giambrocco Former name

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
I20180419000519 CO Practitioner - Clinical Social Worker 8628331980 Reassigns benefits to 1 organization
Practice locations: Wheat Ridge, CO

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)

4251 Kipling St
Unit 560
Wheat Ridge, CO 80033-6800
Phone (720) 412-1909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.00001722COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ari Hoffman Psychotherapy LLC Single Specialty CurrentSince Apr 3, 2018 Accepting new patients
Guiding All of You Psychotherapy Clinical CurrentSince Dec 7, 2023 Accepting new patients

Locations

4251 Kipling St
Unit 560
Wheat Ridge, CO 80033
Phone (720) 316-7908

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1770087470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 LEYDEN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802071341",
            "telephone_number": "720-412-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4251 KIPLING ST UNIT 560",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336800",
            "telephone_number": "720-412-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.00001722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "GIAMBROCCO",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wheat Ridge, CO

Sources for this page

Verify at the official NPI Registry.