Barbara Ann Wisott, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

594 Issued in CO

Practice address

155 Van Gordon St
Suite 395
Lakewood, CO 80228-1709

Phone

(303) 914-2688

Fax

(303) 914-2682

NPI assigned

Jul 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Barbara Ann Pack Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639196462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 VAN GORDON ST",
            "address_2": "SUITE 395",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281709",
            "telephone_number": "303-914-2688",
            "fax_number": "303-914-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 VAN GORDON ST",
            "address_2": "SUITE 395",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281709",
            "telephone_number": "303-914-2688",
            "fax_number": "303-914-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISOTT",
        "first_name": "BARBARA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "PACK",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "L.C.S.W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wise Sleep and Wellness LLC
• Randall Stephen Wise, DDS
• Sydny Wise
• Natalie Davina Wiseman, RBT
• Joy Noelle Wishtun, M.A.
• Annah Christine Wisotzkey, LCSW
• Raymond Alan Wodicka, R.PH.
• Wojciech Bobak DMD Ms PC
• Andrea L Wolfe
• Brad A Wolfe

• Clinical Social Worker in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.