Individual provider Active NPI

Jacey J Yunker, LCSW

  • Clinical Social Worker
  • Centennial, CO
National Provider Identifier
1942219662
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09927855 Issued in CO
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

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
CSW.09927855COMDClinical Social Worker
CSW005339GAMDClinical Social Worker
149.011230ILMDClinical Social Worker
6801077340MIMDClinical Social Worker
079826-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jacey J. Yunker, LCSW, Counseling, LLC Clinical CurrentSince Dec 4, 2015 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.

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.

Verify at the official NPI Registry.