Melissa Ann Crisp, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

09926722 Issued in CO

Practice address

2532 W Colorado Ave Ste 200
Colorado Springs, CO 80904-3023

Phone

(719) 310-6357

NPI assigned

Jun 19, 2020

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

Other names 1

• Melissa Bannerot Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2023 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1245856863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 SHERIDAN BLVD UNIT 4",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802143053",
            "telephone_number": "719-310-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2532 W COLORADO AVE STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809043023",
            "telephone_number": "719-310-6357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12600 W Colfax Ave Ste A100",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802153787",
            "country_code": "US",
            "telephone_number": "719-310-6357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRISP",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09926722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "BANNEROT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Crisalida, Inc
• Crisalida, Inc.
• Steven Crisler
• Crisp Counseling and Consulting - PLLC
• Jessa Dillow Crisp, LPC
• Shaina Mae Crisp, LCSW
• Michael Crissey
• Logan Crist
• Dan Aurel Cristescu, M.D.
• Audreanna Louise Cristo, AG-CNS

• 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 Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.