Individual provider Active NPI

Cynthia C Jimenez, LCSW

  • Clinical Social Worker
  • Pueblo, CO
National Provider Identifier
1902920564
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.00992416 Issued in CO
Practice address
300 Colorado Ave
Pueblo, CO 81004
Phone
(719) 543-8718
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 992416 CO
Clinical Social Worker 1041C0700X CSW.00992416 CO Primary

Addresses

Primary practice location

300 Colorado Ave
Pueblo, CO 81004

Mailing address

110 E Routt Ave
Pueblo, CO 81004-2117
Phone (719) 543-8718

Other practice location 1

625 N Monument Ave
Pueblo, CO 81001-5706
Phone (719) 543-8711

Other practice location 2

201 Kendall Dr
LaMar, CO 81052-3939
Phone (719) 336-0261

Other practice location 3

1050 35th Ln
Pueblo, CO 81006-9426
Phone (719) 543-8711

Other practice location 4

900 W Orman Ave Rm Mt118
Pueblo, CO 81004-1430
Phone (719) 543-8711

Other practice location 5

1302 E 5th St
Pueblo, CO 81001-3754
Phone (719) 543-8711

Other practice location 6

1008 N Grand Ave
Pueblo, CO 81003-2916
Phone (719) 543-8711

Other practice location 7

328 Avondale Blvd
Pueblo, CO 81022
Phone (719) 543-8718

Other practice location 8

2525 Mountview Dr
Pueblo, CO 81008-1431
Phone (719) 543-8711

Other practice location 9

9 MacNeil Rd
Pueblo, CO 81001-1931
Phone (719) 543-8711

Other practice location 10

216 E Orman Ave
Pueblo, CO 81004-2144
Phone (719) 543-8718

Other identifiers 1

IdentifierTypeStateIssuer
04339878MedicaidCO

Other names 1

  • Cynthia C Anderson-Jimenez Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050503000632 CO Practitioner - Clinical Social Worker 0042259624 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

201 Kendall Dr
Lamar, CO 81052-3939
Phone (719) 336-0261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
992416COMDSocial Worker
CSW.00992416COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
High Plains Community Health Center, Incorporated CurrentSince Dec 13, 2024 Accepting new patients
High Plains Community Health Center Incorporated CurrentSince Dec 13, 2024 Accepting new patients
Pueblo Community Health Center Inc CurrentSince May 10, 2012 Accepting new patients
Pueblo Community Health Center Inc CurrentSince May 10, 2012 Accepting new patients
Pueblo Community Health Center, Inc Past Accepting new patients
Pueblo Community Health Center Past Accepting new patients
Pueblo Community Health Center Inc PastSince Jun 15, 2021 Accepting new patients
Pueblo Community Health Center Inc. Past Accepting new patients
Pueblo Community Health Center Past Accepting new patients
Pueblo Community Health Center Past Accepting new patients

Locations

201 Kendall Dr
Lamar, CO 81052
Phone (719) 336-0261

110 E Routt Ave
Pueblo, CO 81004
Phone (719) 543-8718

300 Colorado Ave
Pueblo, CO 81004
Phone (719) 543-8718

1008 N Grand Ave
Pueblo, CO 81003
Phone (719) 543-8718

900 W Orman Ave
Rm MT118
Pueblo, CO 81004
Phone 7195438711385

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1902920564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E ROUTT AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042117",
            "telephone_number": "719-543-8718",
            "fax_number": "719-543-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 COLORADO AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81004",
            "telephone_number": "719-543-8718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 N Monument Ave",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810015706",
            "country_code": "US",
            "telephone_number": "719-543-8711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Kendall Dr",
            "address_purpose": "LOCATION",
            "city": "LaMar",
            "state": "CO",
            "postal_code": "810523939",
            "country_code": "US",
            "telephone_number": "719-336-0261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 35th Ln",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810069426",
            "country_code": "US",
            "telephone_number": "719-543-8711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 W Orman Ave Rm Mt118",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810041430",
            "country_code": "US",
            "telephone_number": "719-543-8711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1302 E 5th St",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810013754",
            "country_code": "US",
            "telephone_number": "719-543-8711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1008 N Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810032916",
            "country_code": "US",
            "telephone_number": "719-543-8711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "328 Avondale Blvd",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "81022",
            "country_code": "US",
            "telephone_number": "719-543-8718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2525 Mountview Dr",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810081431",
            "country_code": "US",
            "telephone_number": "719-543-8711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 MacNeil Rd",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810011931",
            "country_code": "US",
            "telephone_number": "719-543-8711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "216 E Orman Ave",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810042144",
            "country_code": "US",
            "telephone_number": "719-543-8718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "CYNTHIA",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "992416",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.00992416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04339878",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "ANDERSON-JIMENEZ",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.