JAMIE ETL (LCSW) – Clinical Social Worker, NPI 1104230051

JAMIE ETL (LCSW) is a healthcare provider. based in Denver, Colorado. specializing in Clinical Social Worker. They hold the professional credentials LCSW. They hold a License No. CSW 09923710 (CO). The NPI Number for JAMIE ETL (LCSW) is 1104230051

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
JAMIE ETL (LCSW)
NPI
1104230051
Phone
(303) 504-7805
Address
4455 E 12TH AVE
Enumeration Date
18 June 2014
Last Update Date
28 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3035046500
Graduation Year
2010 (16 years ago)
PAC ID
2264654680
Group Practice PAC ID
3476440314
Professional Enrollment ID
I20141119000285
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for JAMIE ETL (LCSW)

  • 4455 E 12TH AVE

    DENVER, CO 802202415

    Phone: (303) 504-7805

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80220)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476440314View full group profile

Reviews

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Frequently asked questions

What number should I use to identify JAMIE ETL (LCSW) for billing?
Administrative and clinical systems typically use NPI 1104230051 for JAMIE ETL (LCSW).
Is JAMIE ETL (LCSW) currently accepting referrals based on NPI status?
Registry metadata lists JAMIE ETL (LCSW) as active.
How should patients interpret JAMIE ETL (LCSW)'s specialty?
The extract shows Clinical Social Worker for JAMIE ETL (LCSW). Clinical services aligned with this taxonomy classification.
What city is tied to JAMIE ETL (LCSW)?
The directory associates JAMIE ETL (LCSW) with Denver, Colorado. Check all listed addresses for suites or satellite offices.
Who maintains JAMIE ETL (LCSW)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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