MEDICARE: MRS. LISA SCHOLZ LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	6801078869	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6801078869	OTHER	MI	MICHIGAN SOCIAL WORK LICENSE

General Provider Information

NPI Number	:	1023252020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LISA SCHOLZ LCSW

Provider Business Mailing Address
First Line	:	2002 W 120TH AVE STE 1
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80234-2433
Country	:	US
Telephone Number	:	303-835-9733
Fax Number	:

Provider Business Practice Location Address
First Line	:	2002 W 120TH AVE STE 1
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80234-2433
Country	:	US
Telephone Number	:	303-501-3108
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2009
Last Update Date	:	03/02/2023

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