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General NPI Number Information
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NPI Number | 1417615188
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Entity Type | Individual
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Provider Name | JENNIFER L MADSEN LICSW
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Gender | Female
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Dates
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Enumeration Date | 11/30/2021
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 1080 S SABLE BLVD UNIT 17-18
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City | AURORA
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State | CO
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Zip | 80012-3796
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Country | US
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Telephone | 303-552-9577
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Fax | 415-252-7176
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Provider Business Mailing Address
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Address Line | 2525 18TH ST APT 563
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City | DENVER
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State | CO
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Zip | 80211-6439
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Country | US
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Telephone | 720-979-5902
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 115179
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 124161
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW.09926956
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License Number State | CO
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