Individual provider Active NPI

Shelley Kaufher Lazear, LCSW

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1659422020
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
989558 Issued in CO
Practice address
3540 S Poplar St
Suite 202
Denver, CO 80237-1360
Phone
(303) 523-6020
Fax
(303) 771-5254
NPI assigned
Jan 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 989558 CO Primary

Addresses

Primary practice location

3540 S Poplar St
Suite 202
Denver, CO 80237-1360

Mailing address

6180 S Fulton St
Englewood, CO 80111-5423
Phone (303) 771-1858

Other names 1

  • Ms. Shelley Kaufher Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20141121001878 CO Practitioner - Clinical Social Worker 2062734361 Practice locations: Greenwood Village, CO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6535 S Dayton St
Suite 1650
Greenwood Village, CO 80111-6176
Phone (303) 770-0161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
989558COMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659422020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6180 S FULTON ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801115423",
            "telephone_number": "303-771-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 S POPLAR ST",
            "address_2": "SUITE 202",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802371360",
            "telephone_number": "303-523-6020",
            "fax_number": "303-771-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZEAR",
        "first_name": "SHELLEY",
        "middle_name": "KAUFHER",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "989558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLEY",
            "last_name": "KAUFHER",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.