Individual provider Active NPI

Joni Collette Jackson-Malavasi, LCSW

  • Clinical Social Worker
  • Westminster, CO
National Provider Identifier
1821644501
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09929922 Issued in CO
Practice address
9993 Hoyt PL
Westminster, CO 80021-4224
Phone
(720) 998-1454
NPI assigned
Aug 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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 09929922 CO Primary

Addresses

Primary practice location

9993 Hoyt PL
Westminster, CO 80021-4224

Mailing address

9993 Hoyt PL
Westminster, CO 80021-4224
Phone (720) 998-1454

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
09929922COMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1566000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1821644501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9993 HOYT PL",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800214224",
            "telephone_number": "720-998-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9993 HOYT PL",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800214224",
            "telephone_number": "720-998-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON-MALAVASI",
        "first_name": "JONI",
        "middle_name": "COLLETTE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-17",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09929922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.