Individual provider Active NPI

Lindsay Von Qualen, LCSW

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1356617740
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09924428 Issued in CO
Practice address
1312 17TH St # 206
Denver, CO 80202-1508
Phone
(720) 432-8146
NPI assigned
Mar 29, 2012
Last updated
Apr 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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 1001 CO
Clinical Social Worker 1041C0700X CSW.09924428 CO Primary

Addresses

Primary practice location

1312 17TH St # 206
Denver, CO 80202-1508

Mailing address

1312 17TH St # 206
Denver, CO 80202-1508
Phone (720) 432-8146

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
1001COMDSocial Worker
CSW.09924428COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Revise Counseling, PLLC Current Accepting new patients

Locations

1312 17th St
Denver, CO 80202
Phone (303) 997-0305

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1356617740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 17TH ST # 206",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021508",
            "telephone_number": "720-432-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 17TH ST # 206",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021508",
            "telephone_number": "720-432-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON QUALEN",
        "first_name": "LINDSAY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "1001",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09924428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Apr 20, 2026; 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.