Individual provider Active NPI

Lisa Anderson, LCSW

  • Clinical Social Worker
  • Fort Collins, CO
National Provider Identifier
1851799563
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-08302 Issued in NM
Practice address
1927 Wilmington Dr Unit 101
Fort Collins, CO 80528-6103
Phone
(505) 620-9686
NPI assigned
Dec 11, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CSW.09931239 CO
Clinical Social Worker 1041C0700X C-08302 NM Primary

Addresses

Primary practice location

1927 Wilmington Dr Unit 101
Fort Collins, CO 80528-6103

Mailing address

3341 Pineridge PL
Fort Collins, CO 80525-2891
Phone (505) 620-9686

Other practice location 1

500 Marquette Ave NW Ste 1200
Albuquerque, NM 87102-5312
Phone (505) 620-9686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20210818002765 NM Practitioner - Clinical Social Worker 2163827874

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149022501ILMDClinical Social Worker
254886KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Uncaged Therapy LLC. Clinical CurrentSince Jan 20, 2023 Accepting new patients

Locations

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

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": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1851799563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3341 PINERIDGE PL",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252891",
            "telephone_number": "505-620-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 WILMINGTON DR UNIT 101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805286103",
            "telephone_number": "505-620-9686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Marquette Ave NW Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871025312",
            "country_code": "US",
            "telephone_number": "505-620-9686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-11",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09931239",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-08302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.