Individual provider Active NPI

Samantha Lee Lotter

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1285277715
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
3120 Irving St
Denver, CO 80211-3632
Phone
(720) 355-1081
NPI assigned
Oct 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LSW.0009923625 CO
Clinical Social Worker 1041C0700X CO Primary

Addresses

Primary practice location

3120 Irving St
Denver, CO 80211-3632

Mailing address

4400 E Evans Ave
Denver, CO 80222-5023
Phone (720) 355-1081

Other practice location 1

4400 E Evans Ave
Denver, CO 80222-5023
Phone (720) 355-1081

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL sam@evokebehavioralhealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LSW.0009923625COMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Evoke Behavioral Health LLC PastSince Sep 5, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1285277715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 E EVANS AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802225023",
            "telephone_number": "720-355-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 IRVING ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113632",
            "telephone_number": "720-355-1081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4400 E Evans Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802225023",
            "country_code": "US",
            "telephone_number": "720-355-1081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOTTER",
        "first_name": "SAMANTHA",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "LSW.0009923625",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "sam@evokebehavioralhealth.com",
            "affiliation": "N",
            "endpointDescription": "Evoke",
            "address_1": "4400 E Evans Ave",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802225023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.