Active NPI
Lisa Cynthia Zondlo, LMSW
- Clinical Social Worker
- Santa Barbara, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LSW0009923007
- Practice address
- 1236 Chapala St
Santa Barbara, CA 93101-3116 - Phone
- (805) 965-2376
- NPI assigned
- Oct 24, 2018
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | NCL0108905 | CO | |
| Clinical Social Worker | 1041C0700X | LSW0009923007 | CO | Primary |
Addresses
Primary practice location
1236 Chapala St
Santa Barbara, CA 93101-3116
Mailing address
1236 Chapala St
Santa Barbara, CA 93101-3116
Phone (805) 965-2376
Other practice location 1
1355 S Colorado Blvd
Denver, CO 80222
Phone (303) 756-9052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NCL0108905 | CO | MD | Counselor |
| LSW0009923007 | CO | MD | Clinical Social Worker |
| 127491 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PC | Clinical | Current | Accepting new patients |
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
Locations
99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385
5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
Organizations & group practices 2
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": "1540339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619395200000",
"number": "1427525864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1236 CHAPALA ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931013116",
"telephone_number": "805-965-2376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1236 CHAPALA ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931013116",
"telephone_number": "805-965-2376"
}
],
"practiceLocations": [
{
"address_1": "1355 S Colorado Blvd",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "80222",
"country_code": "US",
"telephone_number": "303-756-9052",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZONDLO",
"first_name": "LISA",
"middle_name": "CYNTHIA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-24",
"last_updated": "2021-04-26",
"certification_date": "2021-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CO",
"license": "NCL0108905",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "LSW0009923007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.