Individual provider Active NPI

Lori Whitmire, LCSW

  • Clinical Social Worker
  • Athens, GA
National Provider Identifier
1003150996
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW004676 Issued in GA
Practice address
1435 Oglethorpe Ave
Athens, GA 30606-2135
Phone
(706) 549-7755
Fax
(706) 549-0428
NPI assigned
Nov 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW004676 GA Primary

Addresses

Primary practice location

1435 Oglethorpe Ave
Athens, GA 30606-2135

Mailing address

1435 Oglethorpe Ave
Athens, GA 30606-2135
Phone (706) 549-7755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240311003375 GA Practitioner - Clinical Social Worker 0244676385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Counseling Service of Athens IncGroup PAC ID 4385099944, 6 clinicians

Practice addresses (Care Compare)

1435 Oglethorpe Ave
Athens, GA 30606-2135
Phone (706) 549-7755

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Counseling Service of Athens Inc CurrentSince Feb 28, 2024 Accepting new patients

Locations

1435 Oglethorpe Ave
Athens, GA 30606
Phone (706) 549-7755

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353024000000",
    "number": "1003150996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 OGLETHORPE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062135",
            "telephone_number": "706-549-7755",
            "fax_number": "706-549-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 OGLETHORPE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062135",
            "telephone_number": "706-549-7755",
            "fax_number": "706-549-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMIRE",
        "first_name": "LORI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-16",
        "last_updated": "2012-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.