Lisa M Whitlock, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.09925664 Issued in CO

Practice address

1795 Jet Wing Dr
Colorado Springs, CO 80916-2332

Phone

(719) 661-6629

NPI assigned

May 20, 2019

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1154988756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 JET WING DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809162332",
            "telephone_number": "719-661-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 JET WING DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809162332",
            "telephone_number": "719-661-6629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 N Academy Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809091568",
            "country_code": "US",
            "telephone_number": "719-661-6629",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3230 E Woodmen Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809208502",
            "country_code": "US",
            "telephone_number": "719-661-6629",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3595 E Fountain Blvd Ste 110130",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809101733",
            "country_code": "US",
            "telephone_number": "719-661-6629",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2368 Stepping Stones Way",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809042760",
            "country_code": "US",
            "telephone_number": "719-598-3022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITLOCK",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09925664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert David Whiting, MSW, LCSW
• Trevor Keith Whiting, D.P.M.
• Kimberly Whitley
• Kira Aynn Whitley, LPCC, NCC
• Ann Lawrence Whitlock, RN,MSN,NP
• Lauren Hailey Whitmore
• Whitney Swander Audiology Inc
• A'Liyah Mi'Cheal Whitney-Blane
• Alexamber Whitney
• Jessica Whitney, LMSW

• Clinical Social Worker in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.