Individual provider Active NPI

Lia Wolfe, LCSW

  • Clinical Social Worker
  • Fort Collins, CO
National Provider Identifier
1699508911
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09930797 Issued in CO
Practice address
2001 S Shields St Ste 203
Fort Collins, CO 80526-1827
Phone
(970) 236-6317
NPI assigned
Aug 22, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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 CSW.09930797 CO Primary

Addresses

Primary practice location

2001 S Shields St Ste 203
Fort Collins, CO 80526-1827

Mailing address

1936 Derby CT
Fort Collins, CO 80526-2330
Phone (850) 852-2000

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
I20250331003162 CO Practitioner - Clinical Social Worker 7911420914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2625 Redwing Rd
Suite 230
Fort Collins, CO 80526-2804
Phone (970) 620-8188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09930797COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Radical Healing LLC CurrentSince Aug 25, 2024 Accepting new patients
Glacier Lily Therapy LLC Clinical CurrentSince Feb 24, 2025 Accepting new patients
Glacier Lily Therapy LLC Clinical CurrentSince Aug 25, 2024 Accepting new patients
Radical Healing LLC CurrentSince Sep 23, 2024 Accepting new patients

Locations

2001 S Shields St
Ste 203
Fort Collins, CO 80526
Phone (970) 236-6317

1000 Centre Ave
Ste 150
Fort Collins, CO 80526
Phone (970) 620-8188

2625 Redwing Rd
Ste 230
Fort Collins, CO 80526
Phone (970) 402-4472

Organizations & group practices 4

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": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1699508911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 DERBY CT",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805262330",
            "telephone_number": "850-852-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S SHIELDS ST STE 203",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261827",
            "telephone_number": "970-236-6317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "LIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09930797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.