Active NPI
Lisa Lynn White, MSW LCSW
- Clinical Social Worker
- Co SPGS, CO
National Provider Identifier
1376684597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1751 S 8TH St
Co SPGS, CO 80906 - Phone
- (719) 471-1816
- Fax
- (719) 471-9987
- NPI assigned
- Feb 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 989114 | CO | |
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1751 S 8TH St
Co SPGS, CO 80906
Mailing address
1751 S 8TH St
Co SPGS, CO 80906
Phone (719) 471-1816
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 035526 | Medicaid | CO |
Other names 1
- Lisa White PC
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
| License | State | Type | Specialty |
|---|---|---|---|
| 989114 | CO | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lisa L. White, PC | Psychologist | Current | Accepting new patients |
Locations
1751 S 8th St
Colorado Springs, CO 80905
Phone (719) 471-1816
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": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1376684597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1751 S 8TH ST",
"city": "CO SPGS",
"state": "CO",
"postal_code": "80906",
"telephone_number": "719-471-1816",
"fax_number": "719-471-9987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1751 S 8TH ST",
"city": "CO SPGS",
"state": "CO",
"postal_code": "80906",
"telephone_number": "719-471-1816",
"fax_number": "719-471-9987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "LISA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "MSW LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "989114",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "035526",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "WHITE PC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Co SPGS, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.