Active NPI
Lisa Marie Landen, LCSW
- Clinical Social Worker
- Brighton, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.09929830
- Practice address
- 17180 E 136TH Ave
Brighton, CO 80601-7047 - Phone
- (720) 336-8770
- NPI assigned
- Oct 23, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW.09929830 | Primary |
Addresses
Primary practice location
17180 E 136TH Ave
Brighton, CO 80601-7047
Mailing address
112 Jordan Dr
Belton, TX 76513-4368
Phone (254) 624-7420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
820 Jeffrey St
Waco, TX 76710-4745
Phone (254) 772-9480
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64721 | TX | MD | Case Management Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Psychological Care Dallas I, LLC | Clinical | Current | Accepting new patients |
Locations
1900 Oneal St
Gainesville, TX 76240
Phone (940) 665-2826
4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777
434 Paza Dr
Mesquite, TX 75149
Phone (972) 286-6489
7146 Baker Blvd
Richland Hills, TX 76118
Phone (817) 589-1734
820 Jeffrey St
Waco, TX 76710
Phone (254) 772-9480
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": "1698019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1780456830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 JORDAN DR",
"city": "BELTON",
"state": "TX",
"postal_code": "765134368",
"telephone_number": "254-624-7420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17180 E 136TH AVE",
"city": "BRIGHTON",
"state": "CO",
"postal_code": "806017047",
"telephone_number": "720-336-8770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDEN",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-23",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": "CSW.09929830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brighton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.