Individual provider Active NPI

Lisa Anne Kolberg Salopek, LCSW

  • Clinical Social Worker
  • Morro Bay, CA
National Provider Identifier
1619062197
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-3954 Issued in NM
Practice address
1955 Ironwood Ave Unit B
Morro Bay, CA 93442-1672
Phone
(505) 660-0421
NPI assigned
Oct 3, 2006
Last updated
Oct 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I-3954 NM Primary

Addresses

Primary practice location

1955 Ironwood Ave Unit B
Morro Bay, CA 93442-1672

Mailing address

1955 Ironwood Ave Unit B
Morro Bay, CA 93442-1672
Phone (505) 660-0421

Other identifiers 1

IdentifierTypeStateIssuer
85300829MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, CA2 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
I20050129000236 NM Practitioner - Clinical Social Worker 3274583984 Reassigns benefits to 1 organization
I20190603003008 CA Practitioner - Clinical Social Worker 3274583984 Reassigns benefits to 3 organizations
Practice locations: Morro Bay, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1955 Ironwood Ave
Unit B
Morro Bay, CA 93442-1667

1955 Ironwood Ave
Unit B
Morro Bay, CA 93442-1672

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-3954NMMDClinical Social Worker
83001CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Clinical CurrentSince Nov 20, 2022 Accepting new patients
Headway California Behavioral Health Services, P.C. CurrentSince Jul 1, 2024 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Oct 31, 2025 Accepting new patients
Sud Specialty Group - Ca Clinical CurrentSince Aug 1, 2025 Accepting new patients

Locations

680 E Colorado Blvd
Ste 180
Pasadena, CA 91101
Phone (213) 557-2286

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (323) 745-8323

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

114 5th Ave
Fl 2
New York, NY 10011
Phone (347) 285-4233

Interoperability endpoints

  • Direct secure messaging: lisasalopek@tdh.allscriptsdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1619062197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 IRONWOOD AVE UNIT B",
            "city": "MORRO BAY",
            "state": "CA",
            "postal_code": "934421672",
            "telephone_number": "505-660-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 IRONWOOD AVE UNIT B",
            "city": "MORRO BAY",
            "state": "CA",
            "postal_code": "934421672",
            "telephone_number": "505-660-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALOPEK",
        "first_name": "LISA",
        "middle_name": "ANNE KOLBERG",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-3954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85300829",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morro Bay, CA

Sources for this page

Verify at the official NPI Registry.