Active NPI
Jacey J Yunker, LCSW
- Clinical Social Worker
- Centennial, CO
National Provider Identifier
1942219662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.09927855
- Practice address
- 7173 S Havana St Ste 600-5T
Centennial, CO 80112-3891 - Phone
- (720) 202-8311
- Fax
- (303) 927-7726
- NPI assigned
- Aug 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801077340 | MI | |
| Clinical Social Worker | 1041C0700X | 149.011230 | IL | |
| Clinical Social Worker | 1041C0700X | 079826-1 | NY | |
| Clinical Social Worker | 1041C0700X | CSW005339 | GA | |
| Clinical Social Worker | 1041C0700X | CSW.09927855 | CO | Primary |
Addresses
Primary practice location
7173 S Havana St Ste 600-5T
Centennial, CO 80112-3891
Mailing address
7173 S Havana St Ste 600-5
Centennial, CO 80112-3891
Phone (720) 202-8311
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW.09927855 | CO | MD | Clinical Social Worker |
| CSW005339 | GA | MD | Clinical Social Worker |
| 149.011230 | IL | MD | Clinical Social Worker |
| 6801077340 | MI | MD | Clinical Social Worker |
| 079826-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacey J. Yunker, LCSW, Counseling, LLC | Clinical | Current | Accepting new patients |
Locations
7173 S Havana St
Ste 6005
Centennial, CO 80112
Phone (720) 202-8311
5605 Glenridge Dr
Ste 620
Sandy Springs, GA 30342
Phone (404) 847-9560
5605 Glenridge Dr
Sandy Springs, GA 30342
Phone (404) 448-3394
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Centennial, CO
- NPI 1801260500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679616000000",
"number": "1942219662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7173 S HAVANA ST STE 600-5",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801123891",
"telephone_number": "720-202-8311",
"fax_number": "303-927-7726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7173 S HAVANA ST STE 600-5T",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801123891",
"telephone_number": "720-202-8311",
"fax_number": "303-927-7726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUNKER",
"first_name": "JACEY",
"middle_name": "J",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2023-03-24",
"certification_date": "2023-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801077340",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.011230",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "079826-1",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW005339",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09927855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.