Individual provider Active NPI

Lisa Kish-Pittman, LCSW

  • Clinical Social Worker
  • Lakewood, CO
National Provider Identifier
1013578947
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09924140 Issued in CO
Practice address
1667 Cole Blvd Ste 290
Lakewood, CO 80401-3310
Phone
(000) 000-0000
NPI assigned
Jun 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09924140 CO Primary

Addresses

Primary practice location

1667 Cole Blvd Ste 290
Lakewood, CO 80401-3310

Mailing address

1667 Cole Blvd Ste 290
Lakewood, CO 80401-3310
Phone (000) 000-0000

Other identifiers 1

IdentifierTypeStateIssuer
9000174541MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221206000851 CO Practitioner - Clinical Social Worker 0042607129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1667 Cole Blvd
Suite 290
Lakewood, CO 80401-3310
Phone (720) 792-6376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09924140COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Grace Therapy, PLLC Clinical CurrentSince Mar 20, 2026 Accepting new patients
Vitalcare Corporation CurrentSince Jan 1, 2022 Accepting new patients

Locations

5460 Ward Rd
Ste 360
Arvada, CO 80002

1667 Cole Blvd
Ste 290
Lakewood, CO 80401

1400 W 122nd Ave
Ste 140
Westminster, CO 80234
Phone (720) 458-0642

Organizations & group practices 2

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": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1013578947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1667 COLE BLVD STE 290",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013310",
            "telephone_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1667 COLE BLVD STE 290",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013310",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISH-PITTMAN",
        "first_name": "LISA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09924140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000174541",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.