Active NPI
Lisa L. White, PC
- Clinical Social Worker
- Colorado Springs, CO
National Provider Identifier
1639624257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- LISA L. WHITE, PC
- Practice address
- 1751 S 8TH St
Colorado Springs, CO 80905-1926 - Phone
- (719) 471-1816
- Fax
- (719) 471-9987
- NPI assigned
- Aug 24, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lisa Lynn White, LCSW
- Title
- Owner
- Phone
- (719) 233-7009
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1751 S 8TH St
Colorado Springs, CO 80905-1926
Mailing address
1751 S 8TH St
Colorado Springs, CO 80905-1926
Phone (719) 471-1816
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 035526 | Medicaid | CO |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623888000000",
"number": "1639624257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1751 S 8TH ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809051926",
"telephone_number": "719-471-1816",
"fax_number": "719-471-9987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1751 S 8TH ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809051926",
"telephone_number": "719-471-1816",
"fax_number": "719-471-9987"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LISA L. WHITE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-24",
"last_updated": "2021-06-17",
"certification_date": "2021-06-17",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "719-233-7009",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "035526",
"state": "CO"
}
],
"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 Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.