Active NPI
Lara Ristow LCSW PLLC
- Clinical Social Worker
- Durango, CO
National Provider Identifier
1265101265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- LARA RISTOW LCSW PLLC
- Practice address
- 2855 Main Ave Ste A104
Durango, CO 81301-5959 - Phone
- (970) 946-2669
- NPI assigned
- Sep 13, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lara Ristow, LCSW
- Title
- Owner
- Phone
- (970) 946-2669
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2855 Main Ave Ste A104
Durango, CO 81301-5959
Mailing address
245 Valley View Cir
Durango, CO 81301-4298
National Provider Directory
National Provider DirectoryLocations
2855 Main Ave
Ste A104
Durango, CO 81301
Phone (970) 946-2669
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Durango, CO
- NPI 1801027388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631491200000",
"number": "1265101265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 VALLEY VIEW CIR",
"city": "DURANGO",
"state": "CO",
"postal_code": "813014298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2855 MAIN AVE STE A104",
"city": "DURANGO",
"state": "CO",
"postal_code": "813015959",
"telephone_number": "970-946-2669"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LARA RISTOW LCSW PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-13",
"last_updated": "2021-09-13",
"certification_date": "2021-09-13",
"status": "A",
"authorized_official_last_name": "RISTOW",
"authorized_official_first_name": "LARA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "970-946-2669",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.