Individual provider Active NPI

Lorraine Kaye Bockman, LCSW, LAC

  • Clinical Social Worker
  • Centennial, CO
National Provider Identifier
1376740266
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
991984 Issued in CO
Practice address
6402 S Troy Cir Ste 340
Centennial, CO 80111-6439
Phone
(303) 214-5299
Fax
(303) 389-9423
NPI assigned
Jul 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 173 CO
Clinical Social Worker 1041C0700X 991984 CO Primary

Addresses

Primary practice location

6402 S Troy Cir Ste 340
Centennial, CO 80111-6439

Mailing address

6402 S Troy Cir Ste 340
Centennial, CO 80111-6439
Phone (303) 214-5299

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
I20200130000019 CO Practitioner - Clinical Social Worker 5890121495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6402 S Troy Cir
Suite 340
Centennial, CO 80111-6439
Phone (303) 214-5299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
991984COMDClinical Social Worker
173COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Addiction Solutions LLC Addiction (Substance Use Disorder) CurrentSince Jan 8, 2020 Accepting new patients

Locations

6402 S Troy Cir
Ste 340
Centennial, CO 80111
Phone (303) 214-5299

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": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1376740266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6402 S TROY CIR STE 340",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801116439",
            "telephone_number": "303-214-5299",
            "fax_number": "303-389-9423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6402 S TROY CIR STE 340",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801116439",
            "telephone_number": "303-214-5299",
            "fax_number": "303-389-9423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCKMAN",
        "first_name": "LORRAINE",
        "middle_name": "KAYE",
        "name_prefix": "Ms.",
        "credential": "LCSW, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "173",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "991984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.