Active NPI
Lacey Mashinter, LCSW
- Clinical Social Worker
- Highlands Ranch, CO
National Provider Identifier
1609052869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 969
- Practice address
- 8671 South Quebec St
Ste 200
Highlands Ranch, CO 80130 - Phone
- (888) 852-6672
- Fax
- (305) 891-4228
- NPI assigned
- Jan 17, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 969 | CO | Primary |
Addresses
Primary practice location
8671 South Quebec St
Ste 200
Highlands Ranch, CO 80130
Mailing address
P.O. Box 400
Cotopaxi, CO 81223
Phone (719) 285-5121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99124335 | Medicaid | CO |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 969 | CO | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224028800000",
"number": "1609052869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 400",
"city": "COTOPAXI",
"state": "CO",
"postal_code": "81223",
"telephone_number": "719-285-5121",
"fax_number": "719-218-9994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8671 SOUTH QUEBEC ST",
"address_2": "STE 200",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "80130",
"telephone_number": "888-852-6672",
"fax_number": "305-891-4228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASHINTER",
"first_name": "LACEY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-17",
"last_updated": "2008-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "969",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "99124335",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Highlands Ranch, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.