Healthcare Provider Details

I. General information

NPI: 1265940688
Provider Name (Legal Business Name): LINDSAY K BISHOP LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2018
Last Update Date: 03/18/2024
Certification Date: 03/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8805 W 14TH AVE STE 300
LAKEWOOD CO
80215-4848
US

IV. Provider business mailing address

8805 W 14TH AVE STE 300
LAKEWOOD CO
80215-4848
US

V. Phone/Fax

Practice location:
  • Phone: 720-943-7080
  • Fax: 720-316-7577
Mailing address:
  • Phone: 720-943-7080
  • Fax: 720-316-7577

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number7842-S
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09926720
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: