Individual ProviderJaclyn NeyhartSocial WorkerBehavioral Health & Social Service ProvidersPractice Address5650 Greenwood Plaza Blvd Ste 250a, Greenwood Village, CO 80111-2309(720) 893-0325PECOS EnrollmentBased on the most recent information from CMS, provider Jaclyn Neyhart does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1801551049Provider TypeIndividualFull NameNeyhart, JaclynCredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date11/2/2021Last Updated5/24/2023Contact InformationPractice LocationPractice Address5650 Greenwood Plaza Blvd Ste 250a, Greenwood Village, CO 80111-2309Phone(720) 893-0325FaxUnlisted FaxMailing LocationMailing Address5650 Greenwood Plaza Blvd Ste 250a, Greenwood Village, CO 80111-2309Phone(720) 893-0325FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense09928433ColoradoCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer