Staceyeileen Shannon Sinclare, LCSW, CAC III

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.00992008 Issued in CO

Practice address

12401 E. 17TH Ave. Mail Stop F777
Aurora, CO 80045-2548

Phone

(720) 848-5197

NPI assigned

Dec 2, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Colorado Hospital Authority Hospital, Aurora, CO, CCN 060024

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Poudre Valley Medical Group, LLC

  • General Practice Physician
  • Loveland, CO
  • NPI 1225356868
  Medicare reassignment Care Compare group NPD
• Poudre Valley Medical Group, LLC

  • General Practice Physician
  • Loveland, CO
  • NPI 1366763260
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• University of Colorado Hospital Authority

  • General Acute Care Hospital
  • Arvada, CO
  • NPI 1013407865
  Care Compare affiliation
• University of Colorado Hospital Authority

  • General Acute Care Hospital
  • Boulder, CO
  • NPI 1063071033
  Care Compare affiliation
• University of Colorado Hospital Authority

  • General Acute Care Hospital
  • Lone Tree, CO
  • NPI 1063072932
  Care Compare affiliation
• University of Colorado Hospital Authority

  • General Acute Care Hospital
  • Denver, CO
  • NPI 1083274930
  Care Compare affiliation
• University of Colorado Hospital Authority

  • General Acute Care Hospital
  • Denver, CO
  • NPI 1154980118
  Care Compare affiliation
• University of Colorado Hospital Authority

  • General Acute Care Hospital
  • Lone Tree, CO
  • NPI 1265092126
  Care Compare affiliation
• University of Colorado Hospital Authority

  • General Acute Care Hospital
  • Highlands Ranch, CO
  • NPI 1285293274
  Care Compare affiliation
• University of Colorado Hospital Authority

  • General Acute Care Hospital
  • Lone Tree, CO
  • NPI 1306406285
  Care Compare affiliation
• University of Colorado Hospital Authority

  • General Acute Care Hospital
  • Denver, CO
  • NPI 1356901235
  Care Compare affiliation
• University of Colorado Hospital Authority

  • General Acute Care Hospital
  • Thornton, CO
  • NPI 1366932162
  Care Compare affiliation
• University of Colorado Hospital Authority

  • General Acute Care Hospital
  • Denver, CO
  • NPI 1386267714
  Care Compare affiliation
• University of Colorado Hospital Authority

  • General Acute Care Hospital
  • Denver, CO
  • NPI 1407479975
  Care Compare affiliation

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

{
    "created_epoch": "1543708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543708800000",
    "number": "1861962995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 E. 17TH AVE. MAIL STOP F777",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452548",
            "telephone_number": "720-848-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 E. 17TH AVE. MAIL STOP F777",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452548",
            "telephone_number": "720-848-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINCLARE",
        "first_name": "STACEYEILEEN",
        "middle_name": "SHANNON",
        "credential": "LCSW, CAC III",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-02",
        "last_updated": "2018-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.00992008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sinai Pillar Holdings LLC
• Sinai Pillar Holdings LLC
• Rita Marie Sinar, LPN
• Kaitlyn Sinclair
• Le Niece Sinclair
• Audrey Sindic, PA-C
• Sinead Marie Webuye
• Miriam Singer, MD
• Tracey Kim Singer, LCSW
• Charanjeet Singh, MD

• Clinical Social Worker in Aurora, CO
• Providers in Aurora, 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 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.