Lori Anne Passerini, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14427 Issued in MD

Practice address

626 Revolution St
Havre de Grace, MD 21078-3320

Phone

(410) 939-8744

Fax

(410) 939-8748

NPI assigned

Sep 3, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300665600000",
    "number": "1033367198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BOOTH ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215657",
            "telephone_number": "410-939-8744",
            "fax_number": "410-939-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 REVOLUTION ST",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783320",
            "telephone_number": "410-939-8744",
            "fax_number": "410-939-8748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSERINI",
        "first_name": "LORI",
        "middle_name": "ANNE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2011-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "14427",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "922801200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Owens, LGSW
• P.S. Psychological Services
• Sandra Theresa Pabst, RN
• Kimberly Gail Packer, D.D.S.
• Kimberley Jayne Parks Bourn, LCSWC
• Shaivi Asit Patel, MD
• Edward J Patro, OD
• Paul D. Chizmar DDS PA
• Pdom Havre de Grace
• Personalized Alternatives for Learning

• Clinical Social Worker in Havre de Grace, MD
• Providers in Havre de Grace, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.