Individual provider Active NPI

Elizabeth K Mitchell, MSW, LCSW

  • Clinical Social Worker
  • Louisville, CO
National Provider Identifier
1073171948
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09929767 Issued in CO
Practice address
363 Centennial Pkwy Ste 220
Louisville, CO 80027-1619
Phone
(303) 879-9074
NPI assigned
Jun 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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.09929767 CO Primary

Addresses

Primary practice location

363 Centennial Pkwy Ste 220
Louisville, CO 80027-1619

Mailing address

363 Centennial Pkwy Ste 220
Louisville, CO 80027-1619
Phone (303) 879-9074

Other practice location 1

41 Pacella Park Dr
Randolph, MA 02368-1755
Phone (781) 437-1381

Other practice location 2

664 Dorchester Ave
South Boston, MA 02127-3537
Phone (617) 524-4620

Other identifiers 1

IdentifierTypeStateIssuer
110026265EMedicaidMA

Other names 1

  • Elizabeth K Doherty Former name

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
I20251002002728 CO Practitioner - Clinical Social Worker 8224534854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Dallas, TX 75284

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC CurrentSince Sep 22, 2025 Accepting new patients
Family Care Center, LLC Mental Health CurrentSince Sep 22, 2025 Accepting new patients

Locations

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

363 Centennial Pkwy
Ste 220
Louisville, CO 80027
Phone (303) 879-9074

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": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1073171948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 CENTENNIAL PKWY STE 220",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271619",
            "telephone_number": "303-879-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 CENTENNIAL PKWY STE 220",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271619",
            "telephone_number": "303-879-9074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 Pacella Park Dr",
            "address_purpose": "LOCATION",
            "city": "Randolph",
            "state": "MA",
            "postal_code": "023681755",
            "country_code": "US",
            "telephone_number": "781-437-1381",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "664 Dorchester Ave",
            "address_purpose": "LOCATION",
            "city": "South Boston",
            "state": "MA",
            "postal_code": "021273537",
            "country_code": "US",
            "telephone_number": "617-524-4620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ELIZABETH",
        "middle_name": "K",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09929767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110026265E",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "DOHERTY",
            "middle_name": "K",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, CO

Sources for this page

Verify at the official NPI Registry.