Individual provider Active NPI

Lisa Renee Jasin, LCSW

  • Clinical Social Worker
  • Lafayette, CO
National Provider Identifier
1376370338
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.00000147 Issued in CO
Practice address
2721 Hedgerow Cir
Lafayette, CO 80026-3475
Phone
(720) 318-9546
NPI assigned
Sep 16, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.00000147 CO Primary

Addresses

Primary practice location

2721 Hedgerow Cir
Lafayette, CO 80026-3475

Mailing address

2721 Hedgerow Cir
Lafayette, CO 80026-3475
Phone (720) 318-9546

Other practice location 1

6685 Gunpark Dr Ste 110T
Boulder, CO 80301-3343
Phone (303) 415-4299

Other practice location 2

2101 Ken Pratt Blvd Ste 104T
Longmont, CO 80501-6568
Phone (303) 415-4299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260605001474 CO Practitioner - Clinical Social Worker 7517438021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6685 Gunpark Dr
Suite 110
Boulder, CO 80301-3161

6870 W 52ND Ave
Arvada, CO 80002-3952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.00000147COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Community Health PastSince Dec 21, 2025 Accepting new patients
Boulder Community Health PastSince Dec 21, 2025 Accepting new patients
Boulder Community Health PastSince Dec 21, 2025 Accepting new patients
Boulder Community Health PastSince Dec 21, 2025 Accepting new patients
Boulder Community Health PastSince Dec 21, 2025 Accepting new patients
Boulder Community Health PastSince Dec 21, 2025 Accepting new patients

Organizations & group practices 7

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": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1376370338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 HEDGEROW CIR",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263475",
            "telephone_number": "720-318-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 HEDGEROW CIR",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263475",
            "telephone_number": "720-318-9546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6685 Gunpark Dr Ste 110T",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803013343",
            "country_code": "US",
            "telephone_number": "303-415-4299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2101 Ken Pratt Blvd Ste 104T",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805016568",
            "country_code": "US",
            "telephone_number": "303-415-4299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JASIN",
        "first_name": "LISA",
        "middle_name": "RENEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.00000147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

Verify at the official NPI Registry.