Individual provider Active NPI

Katherine Lister, LCSW

  • Clinical Social Worker
  • Littleton, CO
National Provider Identifier
1821319666
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1588 Issued in CO
Practice address
5921 Middlefield Rd
Suite 200
Littleton, CO 80123-2858
Phone
(303) 956-9344
NPI assigned
Jun 16, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

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 1588 CO Primary
Clinical Social Worker 1041C0700X 6801089973 MI

Addresses

Primary practice location

5921 Middlefield Rd
Suite 200
Littleton, CO 80123-2858

Mailing address

3225 N Evergreen Dr NE
Grand Rapids, MI 49525
Phone (616) 364-1500

Other names 1

  • Katherine Lister Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20110831000197 MI Practitioner - Clinical Social Worker 6204006216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

255 Seminole Rd
Suite 205
Norton Shores, MI 49444-3758
Phone (616) 808-7262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1588COMDClinical Social Worker
6801089973MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Katherine Lister LMSW PLLC CurrentSince Jun 10, 2023 Accepting new patients

Locations

255 Seminole Rd
Ste 205
Norton Shores, MI 49444
Phone (231) 286-0161

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": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1821319666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 N EVERGREEN DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49525",
            "telephone_number": "616-364-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5921 MIDDLEFIELD RD",
            "address_2": "SUITE 200",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801232858",
            "telephone_number": "303-956-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISTER",
        "first_name": "KATHERINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "1588",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089973",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "LISTER",
            "credential": "LMSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.