Jodi Obirek, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

09924605 Issued in CO

Practice address

1625 S Murray Blvd
Colorado Springs, CO 80916-4502

Phone

(719) 884-2353

NPI assigned

Mar 14, 2012

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Four Points Family Medical Center Inc

  • Family Medicine Physician
  • Colorado Springs, CO
  • NPI 1306998596
  NPD (past)

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1881969574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 S MURRAY BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809164502",
            "telephone_number": "719-884-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 S MURRAY BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809164502",
            "telephone_number": "719-884-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBIREK",
        "first_name": "JODI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-14",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09924605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000184565",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruta Obergfell, MD
• Ken Obermark Jr.
• Kaitlyn Obermuler
• Obhg Colorado, P.C.
• Obhg Colorado, P.C.
• Jennifer Lorenzana Oblanca, PTA
• Ray John Oblanca
• Oborny Chiropractic of Colorado Springs, LLC
• Jared M. Oborny, D.C.
• Jeremy Oborny, D.C.

• All providers in Colorado Springs, CO
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.