Individual provider Active NPI

Lisa Marie Reed, LCSW

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1770117822
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0009921925 Issued in CO
Practice address
4380 Austin Bluffs Pkwy
Colorado Springs, CO 80918-2932
Phone
(719) 454-6010
NPI assigned
Feb 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 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 WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 0009921925 CO Primary

Addresses

Primary practice location

4380 Austin Bluffs Pkwy
Colorado Springs, CO 80918-2932

Mailing address

2143 Windwalker GRV
Colorado Springs, CO 80904-4891
Phone (719) 761-8545

Other practice location 1

1601 Constitution Rd
Pueblo, CO 81001-2132
Phone (888) 365-6271

Other identifiers 1

IdentifierTypeStateIssuer
0009921925OtherCOLICENSE

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
I20200316000842 CO Practitioner - Clinical Social Worker 2466880919 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Oak Street Health Physicians Group of Colorado PLLCGroup PAC ID 9032585054, 34 clinicians

Practice addresses (Care Compare)

4380 Austin Bluffs Pkwy
Colorado Springs, CO 80918-2932
Phone (719) 454-6010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0009921925COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Matthews-Vu Medical Group, P.C. CurrentSince Jun 15, 2020 Accepting new patients
Oak Street Health Physicians Group of Colorado, PLLC Clinical CurrentSince Aug 19, 2024 Accepting new patients
Peak Vista Community Health Centers Single Specialty CurrentSince Oct 8, 2022 Accepting new patients
Oak Street Health Physicians Group of Colorado, PLLC Clinical CurrentSince Aug 19, 2024 Accepting new patients
Matthews-Vu Medical Group, P.C. Single Specialty Current Accepting new patients
Peak Vista Community Health Centers CurrentSince Oct 8, 2022 Accepting new patients
Matthews-Vu Medical Group, P.C. Single Specialty CurrentSince Jun 15, 2020 Accepting new patients
Oak Street Health Physicians Group of Colorado, PLLC Clinical Current Accepting new patients

Locations

4380 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone (719) 454-6010

3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873

104 Pro Rodeo Dr
Ste 100
Colorado Springs, CO 80919
Phone (719) 522-0707

4190 E Woodmen Rd
Ste 100
Colorado Springs, CO 80920
Phone (630) 364-4851

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

Organizations & group practices 8

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": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1770117822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2143 WINDWALKER GRV",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809044891",
            "telephone_number": "719-761-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4380 AUSTIN BLUFFS PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809182932",
            "telephone_number": "719-454-6010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Constitution Rd",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810012132",
            "country_code": "US",
            "telephone_number": "888-365-6271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-27",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "0009921925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0009921925",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.