Individual provider Active NPI

Jacie Lee Friedrichsen

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1780578922
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0009924863 Issued in CO
Practice address
1900 N Grant St Ste 600
Denver, CO 80203-4309
Phone
(844) 445-1491
NPI assigned
Jun 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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 0009924863 CO Primary

Addresses

Primary practice location

1900 N Grant St Ste 600
Denver, CO 80203-4309

Mailing address

1975 19TH St
Denver, CO 80202-5924
Phone (712) 341-0265

Other practice location 1

1975 19th St
Denver, CO 80202-5924
Phone (712) 341-0265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7220 Hidden Meadow LN
Harrisburg, PA 17112-8720

99 S Broadway
Denver, CO 80209-1986

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0009924863COMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1780578922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 19TH ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802025924",
            "telephone_number": "712-341-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N GRANT ST STE 600",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802034309",
            "telephone_number": "844-445-1491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1975 19th St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802025924",
            "country_code": "US",
            "telephone_number": "712-341-0265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIEDRICHSEN",
        "first_name": "JACIE",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "0009924863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.