Individual provider Active NPI

Elise Oconnell, LICSW

  • Clinical Social Worker
  • Lakewood, CO
National Provider Identifier
1548592009
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW09931456 Issued in CO
Practice address
710 Kipling St Ste 106
Lakewood, CO 80215-8006
Phone
(773) 349-6778
Fax
(303) 985-7882
NPI assigned
Feb 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW60853173
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X CSW09931456 CO Primary

Addresses

Primary practice location

710 Kipling St Ste 106
Lakewood, CO 80215-8006

Mailing address

710 Kipling St
Lakewood, CO 80215-8002
Phone (773) 349-6778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190916001877 WA Practitioner - Clinical Social Worker 6305020363 Reassigns benefits to 1 organization
I20250814000127 CO Practitioner - Clinical Social Worker 6305020363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12157 W Cedar Dr
Suite 200
Lakewood, CO 80228-2105
Phone (773) 349-6778

19 E Birch St
Suite 104
Walla Walla, WA 99362-3205
Phone (773) 349-6778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW09931456COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Therapies Walla Walla, LLC Clinical CurrentSince Mar 15, 2019 Accepting new patients

Locations

12157 W Cedar Dr
Ste 200
Lakewood, CO 80228
Phone (720) 513-1215

19 E Birch St
Ste 104
Walla Walla, WA 99362
Phone (509) 438-7239

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": "1265673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1548592009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 KIPLING ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802158002",
            "telephone_number": "773-349-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 KIPLING ST STE 106",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802158006",
            "telephone_number": "773-349-6778",
            "fax_number": "303-985-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCONNELL",
        "first_name": "ELISE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-09",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "LW60853173",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW09931456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.