Active NPI
Lora Ann Millsaps, DSW, LCSW
- Clinical Social Worker
- Covington, KY
National Provider Identifier
1043360381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1970
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 610661458 | Other | KY | TAX ID |
Other names 1
- Lora Ann Davis-Schubert
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1970 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Collaborative, LLC | Clinical | Past | 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.
-
- Clinical Social Worker
- Albany, GA
- NPI 1598808438
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.