Organization Active NPI

Lara Ristow LCSW PLLC

  • Clinical Social Worker
  • Durango, CO
National Provider Identifier
1265101265
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Sep 13, 2021

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

Authorized official

Name
Lara Ristow, LCSWNPI 1801027388
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.