Active NPI
Amanda Higby, MSW
- Social Worker
- Fort Collins, CO
National Provider Identifier
1205698248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LSW.0009925331
- Practice address
- 4856 Innovation Dr
Fort Collins, CO 80525-5539 - Phone
- (970) 494-4200
- Fax
- (844) 270-1824
- NPI assigned
- Jan 25, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LSW.0009925331 | CO | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACD.0002857 | CO |
Addresses
Primary practice location
4856 Innovation Dr
Fort Collins, CO 80525-5539
Mailing address
4856 Innovation Dr
Fort Collins, CO 80525-5539
Phone (970) 494-4200
Other practice location 1
114 Bristlecone Dr
Fort Collins, CO 80524-2031
Phone (970) 494-4200
Other names 1
- Amanda Lackey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4856 Innovation Dr
Fort Collins, CO 80525-5539
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACD.0002857 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| LSW.0009925331 | CO | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769472000000",
"number": "1205698248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4856 INNOVATION DR",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805255539",
"telephone_number": "970-494-4200",
"fax_number": "844-270-1824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4856 INNOVATION DR",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805255539",
"telephone_number": "970-494-4200",
"fax_number": "844-270-1824"
}
],
"practiceLocations": [
{
"address_1": "114 Bristlecone Dr",
"address_purpose": "LOCATION",
"city": "Fort Collins",
"state": "CO",
"postal_code": "805242031",
"country_code": "US",
"telephone_number": "970-494-4200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HIGBY",
"first_name": "AMANDA",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-25",
"last_updated": "2026-01-27",
"certification_date": "2026-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CO",
"license": "LSW.0009925331",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "ACD.0002857",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "LACKEY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.