Jennifer Woodard LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1574 Issued in CO

Legal business name

JENNIFER WOODARD LCSW LLC

Practice address

302 S College Ave Apt 210
Fort Collins, CO 80524-3480

Phone

(970) 443-5016

Fax

(970) 443-5016

NPI assigned

Dec 5, 2017

Last updated

Dec 5, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Woodard, LCSWNPI 1760995153

Title

Licensed Clinical Social Worker

Phone

(970) 443-5016

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Holly Woodard, LCSW

  • Clinical Social Worker
  • Fort Collins, CO
  • NPI 1760995153
  NPD Authorized official

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512432000000",
    "number": "1841705472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 FREEDOM LN",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261707",
            "telephone_number": "970-443-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S COLLEGE AVE APT 210",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243480",
            "telephone_number": "970-443-5016",
            "fax_number": "970-443-5016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER WOODARD LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-05",
        "last_updated": "2017-12-05",
        "status": "A",
        "authorized_official_last_name": "WOODARD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "970-443-5016",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "1574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Dulworth LCSW, LLC
• Jennifer Dulworth LCSW, LLC
• Jennifer Havrilla LLC (Colorado Vision Center)
• Jennifer K Hargleroad DDS Ms Professional LLC
• Jennifer Logan, M.D., LLC
• Barbara Layne Jennings, DC
• Jeanette Jennings
• Amanda Jensen, OTR
• Emma Reanne Jensen
• Gregory A Jensen, MS, ATC, EMT-B

• Clinical Social Worker in Fort Collins, CO
• Providers in Fort Collins, 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 Dec 5, 2017; 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.