Active NPI
Lilian Carbonell-Long, LCSW
- Clinical Social Worker
- Wellington, CO
National Provider Identifier
1083876817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 71
- Practice address
- 3759 Daylily St
Wellington, CO 80549-1875 - Phone
- (720) 201-8538
- NPI assigned
- Jul 2, 2008
- Last updated
- May 19, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 26029 | TX | |
| Clinical Social Worker | 1041C0700X | 71 | CO | Primary |
Addresses
Primary practice location
3759 Daylily St
Wellington, CO 80549-1875
Mailing address
1560 Broadway
Denver, CO 80202-6000
Phone (323) 205-7088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71 | CO | MD | Mental Health Counselor |
| 26029 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747612800000",
"number": "1083876817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 BROADWAY",
"city": "DENVER",
"state": "CO",
"postal_code": "802026000",
"telephone_number": "323-205-7088",
"fax_number": "833-419-0181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3759 DAYLILY ST",
"city": "WELLINGTON",
"state": "CO",
"postal_code": "805491875",
"telephone_number": "720-201-8538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARBONELL-LONG",
"first_name": "LILIAN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-02",
"last_updated": "2025-05-19",
"certification_date": "2025-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "26029",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "71",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wellington, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.