Active NPI
Elise Oconnell, LICSW
- Clinical Social Worker
- Lakewood, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW09931456
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| CSW09931456 | CO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Therapies Walla Walla, LLC | Clinical | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.