Provider Demographics
NPI:1801551049
Name:NEYHART, JACLYN (LCSW)
Entity type:Individual
Prefix:
First Name:JACLYN
Middle Name:
Last Name:NEYHART
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JACLYN
Other - Middle Name:
Other - Last Name:SPITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5650 GREENWOOD PLAZA BLVD STE 250A
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2309
Mailing Address - Country:US
Mailing Address - Phone:720-893-0325
Mailing Address - Fax:
Practice Address - Street 1:5650 GREENWOOD PLAZA BLVD STE 250A
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2309
Practice Address - Country:US
Practice Address - Phone:720-893-0325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-02
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
CO099284331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
KARAMARSHALLOtherCIGNA