Individual provider Active NPI

Lizette A Marquez Espinoza, LCSW

  • Clinical Social Worker
  • Aurora, CO
National Provider Identifier
1942749957
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
.09925796 Issued in CO
Practice address
1504 Galena St
Aurora, CO 80010-2219
Phone
(303) 617-2300
Fax
(303) 617-2365
NPI assigned
Feb 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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 .09925796 CO Primary
Counselor 101Y00000X

Addresses

Primary practice location

1504 Galena St
Aurora, CO 80010-2219

Mailing address

1290 Chambers Rd
Aurora, CO 80011-7117
Phone (303) 617-2300

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190227001731 CO Practitioner - Clinical Social Worker 7113266685 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
.09925796COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Comprehensive Community Mental Health Center, Inc CurrentSince Jan 10, 2019 Accepting new patients
Aurora Comprehensive Community Mental Health Center, Inc CurrentSince Jan 10, 2019 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Apr 20, 2021 Accepting new patients

Locations

791 Chambers Rd
Aurora, CO 80011
Phone (303) 923-2919

1646 Elmira St
Aurora, CO 80010
Phone (303) 617-2424

1290 Chambers Rd
Aurora, CO 80011
Phone (303) 617-2715

14301 E Hampden Ave
Aurora, CO 80014
Phone (303) 617-2600

1504 Galena St
Aurora, CO 80010
Phone (303) 617-2498

11059 E Bethany Dr
Denver, CO 80014
Phone (303) 617-2342

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

Organizations & group practices 3

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": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1942749957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 CHAMBERS RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800117117",
            "telephone_number": "303-617-2300",
            "fax_number": "303-617-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 GALENA ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800102219",
            "telephone_number": "303-617-2300",
            "fax_number": "303-617-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ ESPINOZA",
        "first_name": "LIZETTE",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-23",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": ".09925796",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.