Malissa Trojan

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801100769 Issued in MI

Practice address

27905 Meadow Dr
Evergreen, CO 80439-2110

Phone

(303) 335-9118

Fax

(866) 458-0456

NPI assigned

Apr 15, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Innate Potential

  dba Innate Potential Therapy

  • Clinical Social Worker
  • Evergreen, CO
  • NPI 1811601792
  NPD Authorized official
• Paragon Behavioral Health Connections

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lakewood, CO
  • NPI 1811739782
  Medicare reassignment

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767225600000",
    "number": "1215356381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27905 MEADOW DR UNIT 11",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804392110",
            "telephone_number": "303-335-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27905 MEADOW DR",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804392110",
            "telephone_number": "303-335-9118",
            "fax_number": "866-458-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROJAN",
        "first_name": "MALISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2026-01-01",
        "certification_date": "2026-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "LSW.0009020489",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09925179",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801100769",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L8541",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8344898",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Lynn Torf, MA, LAC, LPCC
• Emily Tracy
• Trailblazer Speech Therapy LLC
• Julia Kent Train
• Kristyn Elizabeth Triplett, RDN
• Miranda Learmonth Tucker, MSW, LCSW
• Michael Robert Tom Turner
• Rebecca Elizabeth Urbano Powell, BCBA
• Karen T Valish, L/O.T.R., CHT
• Meaghan Elisabeth Van Keuren, BCBA

• Clinical Social Worker in Evergreen, CO
• Providers in Evergreen, 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 Jan 1, 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.

Verify at the official NPI Registry.