Active NPI
Lisa Kaufman, LCSW
- Clinical Social Worker
- Denver, CO
National Provider Identifier
1780075572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 09923985
- Practice address
- 3500 E 17TH Ave Ste 1
Denver, CO 80206 - Phone
- (720) 722-0655
- NPI assigned
- Feb 14, 2015
- Last updated
- Jun 11, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 09923985 | CO | Primary |
| Clinical Social Worker | 1041C0700X | 081957 | NY |
Addresses
Primary practice location
3500 E 17TH Ave Ste 1
Denver, CO 80206
Mailing address
675 E 19TH Ave Apt 3657
Denver, CO 80203-1548
Phone (203) 559-6718
Other practice location 1
11059 E Bethany Dr
Aurora, CO 80014-2622
Phone (303) 617-2300
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
| License | State | Type | Specialty |
|---|---|---|---|
| 09923985 | CO | MD | Clinical Social Worker |
| 081957 | NY | MD | Clinical Social Worker |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1780075572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 E 19TH AVE APT 3657",
"city": "DENVER",
"state": "CO",
"postal_code": "802031548",
"telephone_number": "203-559-6718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 E 17TH AVE STE 1",
"city": "DENVER",
"state": "CO",
"postal_code": "80206",
"telephone_number": "720-722-0655"
}
],
"practiceLocations": [
{
"address_1": "11059 E Bethany Dr",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800142622",
"country_code": "US",
"telephone_number": "303-617-2300",
"fax_number": "303-617-2365",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAUFMAN",
"first_name": "LISA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-14",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "09923985",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "081957",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.