Individual provider Active NPI

Lora Ann Millsaps, DSW, LCSW

  • Clinical Social Worker
  • Covington, KY
National Provider Identifier
1043360381
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1970 Issued in KY
Practice address
513 Madison Ave
Covington, KY 41011-1562
Phone
(859) 331-3292
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW003455 GA
Clinical Social Worker 1041C0700X 1970 KY Primary

Addresses

Primary practice location

513 Madison Ave
Covington, KY 41011-1562

Mailing address

502 Farrell Dr
Covington, KY 41011-3717

Other practice location 1

191 Doctors Dr
Frankfort, KY 40601-4101
Phone (502) 223-2182

Other practice location 2

6246 W Broadway Ste 200
McCordsville, IN 46055-9572
Phone (317) 253-7387

Other identifiers 1

IdentifierTypeStateIssuer
610661458OtherKYTAX ID

Other names 1

  • Lora Ann Davis-Schubert Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1970KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Collaborative, LLC Clinical PastSince Jun 23, 2005 Accepting new patients

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1043360381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 FARRELL DR",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410113717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 MADISON AVE",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410111562",
            "telephone_number": "859-331-3292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "191 Doctors Dr",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "KY",
            "postal_code": "406014101",
            "country_code": "US",
            "telephone_number": "502-223-2182",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6246 W Broadway Ste 200",
            "address_purpose": "LOCATION",
            "city": "McCordsville",
            "state": "IN",
            "postal_code": "460559572",
            "country_code": "US",
            "telephone_number": "317-253-7387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLSAPS",
        "first_name": "LORA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003455",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "1970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "610661458",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORA",
            "last_name": "DAVIS-SCHUBERT",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Covington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.