Active NPI
Lisa Louise Forsman
- Clinical Social Worker
- Colorado Springs, CO
National Provider Identifier
1609023472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 829
- Practice address
- 1650 Cochrane Cir # 7500
Evans Army Community Hospital
Colorado Springs, CO 80913-4613 - Phone
- (719) 524-7560
- Fax
- (719) 526-0608
- NPI assigned
- Aug 25, 2008
- Last updated
- Feb 22, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 829 | CO | Primary |
Addresses
Primary practice location
1650 Cochrane Cir # 7500
Evans Army Community Hospital
Colorado Springs, CO 80913-4613
Mailing address
1650 Cochrane Cir # 7500
Evans Army Community Hospital
Colorado Springs, CO 80913-4613
Phone (719) 524-7560
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 |
|---|---|---|---|
| 829 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456099200000",
"number": "1609023472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 COCHRANE CIR # 7500",
"address_2": "EVANS ARMY COMMUNITY HOSPITAL",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809134613",
"telephone_number": "719-524-7560",
"fax_number": "719-526-0608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 COCHRANE CIR # 7500",
"address_2": "EVANS ARMY COMMUNITY HOSPITAL",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809134613",
"telephone_number": "719-524-7560",
"fax_number": "719-526-0608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORSMAN",
"first_name": "LISA",
"middle_name": "LOUISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-25",
"last_updated": "2016-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.