Lisa Bolander, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1568 Issued in CO

Practice address

1635 Blue Spruce Dr
Fort Collins, CO 80524-5427

Phone

(970) 494-4060

NPI assigned

Feb 18, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Salud Family HealthGroup PAC ID 3173433398, 75 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lisa.bolander@sfhc.eclinicaldirectplus.com

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.

• Salud Family Health

  • Federally Qualified Health Center (FQHC)
  • Fort Lupton, CO
  • NPI 1275530388

  CO

  Medicare reassignment Care Compare group
• Salud Family Health

  • Federally Qualified Health Center (FQHC)
  • Trinidad, CO
  • NPI 1497393003
  Care Compare group NPD
• Salud Family Health

  • Federally Qualified Health Center (FQHC)
  • Aurora, CO
  • NPI 1134766553
  Care Compare group NPD (past)
• Salud Family Health

  • Federally Qualified Health Center (FQHC)
  • Fort Lupton, CO
  • NPI 1386777266
  Care Compare group NPD (past)
• Salud Family Health

  • Federal Public Health Clinic/Center
  • Fort Collins, CO
  • NPI 1114050903
  Care Compare group
• Salud Family Health

  • Federally Qualified Health Center (FQHC)
  • Sterling, CO
  • NPI 1437282829
  Care Compare group
• Salud Family Health

  • Federally Qualified Health Center (FQHC)
  • Commerce City, CO
  • NPI 1598898389
  Care Compare group
• Salud Family Health

  • Federally Qualified Health Center (FQHC)
  • Estes Park, CO
  • NPI 1720111677
  Care Compare group
• Salud Family Health

  • Federally Qualified Health Center (FQHC)
  • Fort Morgan, CO
  • NPI 1740947407
  Care Compare group
• Salud Family Health

  • Federally Qualified Health Center (FQHC)
  • Brighton, CO
  • NPI 1780717579
  Care Compare group
• Salud Family Health

  • Federally Qualified Health Center (FQHC)
  • Brighton, CO
  • NPI 1801298070
  Care Compare group
• Salud Family Health

  • Federally Qualified Health Center (FQHC)
  • Fort Morgan, CO
  • NPI 1841323565
  Care Compare group

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1124487129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BRISTLECONE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 BLUE SPRUCE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805245427",
            "telephone_number": "970-494-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLANDER",
        "first_name": "LISA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "1568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Bohannon, LPC
• Rebecca Suzanne Bohl, PA-C
• Vickie L Bohlender
• Ralph Terry Bohn Jr., REGISTERED THERAPIST
• Ashley Nicole Boice
• Michael J Bolander, PT
• Jerod James Boley
• Mary A. Bolgeo, C.R.N.A.
• Angela Bolin, RMA
• Kathryn Grace Bolle

• All providers in Fort Collins, CO
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.