Individual provider Active NPI

Sarah Elizabeth Pellizzari, LCSW

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1710371380
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09923892 Issued in CO
Practice address
890 Robbie VW Apt 225
Colorado Springs, CO 80920-3263
Phone
(919) 412-4966
NPI assigned
Mar 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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 CSW.09923892 CO Primary
Social Worker 104100000X 0009920035 CO

Addresses

Primary practice location

890 Robbie VW Apt 225
Colorado Springs, CO 80920-3263

Mailing address

890 Robbie VW Apt 225
Colorado Springs, CO 80920-3263
Phone (919) 412-4966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0009920035COMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Colorado Animal Assisted Therapy Current Accepting new patients

Locations

5525 N Union Blvd
Ste 200
Colorado Springs, CO 80918
Phone (843) 640-5067

7445 Templeton Gap Rd
Colorado Springs, CO 80923
Phone (919) 412-4966

Organizations & group practices 1

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": "1426982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1710371380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 ROBBIE VW APT 225",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203263",
            "telephone_number": "919-412-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 ROBBIE VW APT 225",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203263",
            "telephone_number": "919-412-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLIZZARI",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-22",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09923892",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "0009920035",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Oct 13, 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.

Verify at the official NPI Registry.