Individual provider Active NPI

Laura Smith Wiese, LCSW

  • Clinical Social Worker
  • Lakewood, CO
National Provider Identifier
1659652907
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09924276 Issued in CO
Practice address
1692 Wadsworth Blvd
Suite 101
Lakewood, CO 80214-5233
Phone
(303) 557-9747
Fax
(720) 336-3043
NPI assigned
Aug 31, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X MC13237 ME
Clinical Social Worker 1041C0700X CSW.09924276 CO Primary

Addresses

Primary practice location

1692 Wadsworth Blvd
Suite 101
Lakewood, CO 80214-5233

Mailing address

1692 Wadsworth Blvd
Suite 101
Lakewood, CO 80214-5233
Phone (303) 557-9747

Other practice location 1

750 Warner Dr
Golden, CO 80401-5297
Phone (303) 925-4340

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
I20180223001269 CO Practitioner - Clinical Social Worker 8527329085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

750 Warner Dr
GDNH Primary Care
Golden, CO 80401-5297
Phone (303) 925-4340

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
89.53
Promoting interoperability
100
Improvement activities
40
Cost
74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09924276COMDClinical Social Worker
MC13237MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado CurrentSince Oct 1, 2024 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Oct 1, 2024 Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

750 Warner Dr
Golden, CO 80401
Phone (303) 925-4137

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1659652907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1692 WADSWORTH BLVD",
            "address_2": "SUITE 101",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802145233",
            "telephone_number": "303-557-9747",
            "fax_number": "720-336-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1692 WADSWORTH BLVD",
            "address_2": "SUITE 101",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802145233",
            "telephone_number": "303-557-9747",
            "fax_number": "720-336-3043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Warner Dr",
            "address_purpose": "LOCATION",
            "city": "Golden",
            "state": "CO",
            "postal_code": "804015297",
            "country_code": "US",
            "telephone_number": "303-925-4340",
            "fax_number": "303-925-4341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIESE",
        "first_name": "LAURA",
        "middle_name": "SMITH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-31",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC13237",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09924276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.