Organization Active NPI

Lisa Nelson LCSW PLLC

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1063910131
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LISA NELSON LCSW PLLC
Doing business as
Insight Driven Futures
Lisa Nelson LCSW
Practice address
5353 W Dartmouth Ave Ste 203
Denver, CO 80227-5516
Phone
(720) 588-0836
NPI assigned
Jan 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Authorized official

Name
Lisa R Nelson, LCSW
Title
Owner/Psychotherapist
Phone
(408) 655-0711

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

5353 W Dartmouth Ave Ste 203
Denver, CO 80227-5516

Mailing address

2685 S Pennsylvania St
Denver, CO 80210-5723
Phone (720) 588-0836

Other identifiers 1

IdentifierTypeStateIssuer
1164954939OtherCOINDIVIDUAL NPI

Other names 2

  • Insight Driven Futures Doing business as
  • Lisa Nelson LCSW Doing business as

National Provider Directory

National Provider Directory

Locations

5353 W Dartmouth Ave
Ste 203
Denver, CO 80227
Phone (720) 588-0836

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1063910131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 S PENNSYLVANIA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105723",
            "telephone_number": "720-588-0836",
            "fax_number": "720-306-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 W DARTMOUTH AVE STE 203",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802275516",
            "telephone_number": "720-588-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA NELSON LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-24",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "408-655-0711",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1164954939",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Insight Driven Futures",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Insight Driven Futures",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lisa Nelson LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.