Active NPI
Lori Elaine Janssen, MSW, LCSW
- Social Worker
- Severna Park, MD
National Provider Identifier
1023174364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 12869
- Practice address
- 611 Baltimore Annapolis Blvd
Severna Park, MD 21146-3941 - Phone
- (410) 234-9753
- NPI assigned
- Dec 29, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 12869 | MD | Primary |
Addresses
Primary practice location
611 Baltimore Annapolis Blvd
Severna Park, MD 21146-3941
Mailing address
5 Madary Rd
Severna Park, MD 21146-1211
Phone (410) 647-1069
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 226525 | Other | MD | VALUE OPTIONS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2019 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12869 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023174364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 MADARY RD",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211461211",
"telephone_number": "410-647-1069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 BALTIMORE ANNAPOLIS BLVD",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211463941",
"telephone_number": "410-234-9753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANSSEN",
"first_name": "LORI",
"middle_name": "ELAINE",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "12869",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "226525",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Severna Park, MD
- Brenda Aanuoluwa Jacobs
- Sheri Jacobs, LCPAT
- Stuart Jacobs, MD
- James E. Chappell, M.D., P.a.
- Janey, LLC
- Jared Mallalieu, PA
- Ayodeji C Jarrett, DDS
- Jeffrey C. Schmidlein, MD
- JLJ Medical Limited Liabilty Company, Priority Care Clinics (JLJ Medical LLC, Priority Care Clinics @Severna Park)
- John Burton Driscoll (Bay Area Behavioral Health LLC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.