Lara C Ristow, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1286 Issued in CO

Practice address

2855 Main Ave Ste A104
Durango, CO 81301-5959

Phone

(970) 946-2669

NPI assigned

Aug 2, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442
  Medicare reassignment NPD
• Lara Ristow LCSW PLLC

  • Clinical Social Worker
  • Durango, CO
  • NPI 1265101265
  NPD Authorized official
• C Lynn Partridge MD LLC

  • Adult Mental Health Clinic/Center
  • Durango, CO
  • NPI 1205179397
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1801027388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 VALLEY VIEW CIR",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014298",
            "telephone_number": "970-946-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 MAIN AVE STE A104",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015959",
            "telephone_number": "970-946-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISTOW",
        "first_name": "LARA",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-02",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "1286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18858562",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Mary Riegel, M.A.-CCC-SLP
• Marian Christine Riggert, RN
• Emily Elizabeth Riggs, LSW, LAC, C-IAYT
• Jill S Rimmey, D.O.
• Mary Alice Rios, PA-C
• George Albert Ritcher, M.D.
• Ronald G Ritz, MD
• Rivergate Natural Healthcare
• Rivergate Orthopedics and Animas Urology, PC
• Rivergate Physical Therapy, PC

• Clinical Social Worker in Durango, CO
• Providers in Durango, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.