Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sara Tori Defazio, LCSW

Individual provider Mental Health Counselor · NPI 1275202137

Sara Tori Defazio, LCSW is a Clinical Social Worker in Lafayette, Colorado. Qualified in 2022, 4 years ago. Practices with Clinica Campesina Family Health Services, a 95-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
4
Licensed in
CO
In the registry since
2021
Specialties on file
3
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

1455 Dixon Ave
Lafayette, CO 80026-8879
Phone: (203) 517-6667
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW.09931368 (CO)
Mental Health Counselor Taxonomy 101YM0800X · Licence LSW.0009924545 (CO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1275202137
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 13, 2021
Last updated in NPPESMarch 29, 2025
Certification dateMarch 29, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Clinica Campesina Family Health Services — 95 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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