Active NPI
Matthew Lebauer, L.C.S.W.
- Clinical Social Worker
- Denver, CO
National Provider Identifier
1972928372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW-1518
- Practice address
- 1625 Marion St
Denver, CO 80218-1514 - Phone
- (303) 830-7337
- NPI assigned
- Feb 22, 2014
- Sex
- Male
- 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-1518 | CO | Primary |
Addresses
Primary practice location
1625 Marion St
Denver, CO 80218-1514
Mailing address
1055 Logan St
Apt. 1608
Denver, CO 80203-3032
Phone (303) 587-2982
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 20, 2025 through Aug 20, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW-1518 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393027200000",
"number": "1972928372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 LOGAN ST",
"address_2": "APT. 1608",
"city": "DENVER",
"state": "CO",
"postal_code": "802033032",
"telephone_number": "303-587-2982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 MARION ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802181514",
"telephone_number": "303-830-7337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBAUER",
"first_name": "MATTHEW",
"name_prefix": "Mr.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-22",
"last_updated": "2014-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW-1518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.