Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa Evensky-Stark, LCSW

Individual provider Clinical Social Worker · NPI 1356722417

Lisa Evensky-Stark, LCSW is a Clinical Social Worker in Colorado Springs, Colorado. Qualified in 2001, 25 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
25
Licensed in
CO
In the registry since
2015
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1400 E Boulder St
Colorado Springs, CO 80909-5533
Phone: (719) 365-5221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4860 Robb St, Wheat Ridge, CO 80033-2184 — (303) 278-7418

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW.00000790 (CO)

Record details

NPI number1356722417
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 15, 2015
Last updated in NPPESFebruary 11, 2020
Certification dateFebruary 11, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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