Lori A Park, MS,LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-12565 Issued in AZ

Practice address

415 W Baseline Spur Rd
Globe, AZ 85501

Phone

(928) 402-9297

Fax

(928) 402-9414

NPI assigned

Sep 23, 2008

Last updated

Sep 23, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Bridges IncGroup PAC ID 2062699721, 106 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lori.parkbhp.p1@direct.cbridges.nextgenshare.com

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

• Community Bridges, Inc.

  dba CBI - Encompass Page Integrated Health Home

  • Adult Mental Health Clinic/Center
  • Page, AZ
  • NPI 1558095315
  Medicare reassignment Care Compare group NPD
• Horizon Health and Wellness, Inc.

  • General Practice Physician
  • Apache Junction, AZ
  • NPI 1659308989
  Medicare reassignment NPD
• Little Colorado Behavioral Health Center Inc.

  • Community/Behavioral Health Agency
  • Saint Johns, AZ
  • NPI 1134292485
  Medicare reassignment NPD
• Community Bridges, Inc.

  dba Community Psychiatric Emergency Center - Outpatient

  • Community/Behavioral Health Agency
  • Mesa, AZ
  • NPI 1588348775
  NPD
• Horizon Health and Wellness, Inc.

  • Federally Qualified Health Center (FQHC)
  • Globe, AZ
  • NPI 1689436412
  NPD
• Little Colorado Behavioral Health Center Inc.

  dba SMI Supportive Housing - Apache

  • Community/Behavioral Health Agency
  • Saint Johns, AZ
  • NPI 1588543029
  NPD
• Community Bridges, Inc.

  dba Arizona Bridge to Recovery

  • Substance Abuse Rehabilitation Facility
  • Mesa, AZ
  • NPI 1356461727
  NPD (past)
• Horizon Health and Wellness, Inc.

  • Professional Counselor
  • Globe, AZ
  • NPI 1205931987
  NPD (past)

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1053561431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W BASELINE SPUR RD",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "85501",
            "telephone_number": "928-402-9297",
            "fax_number": "928-402-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W BASELINE SPUR RD",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "85501",
            "telephone_number": "928-402-9297",
            "fax_number": "928-402-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "LORI",
        "middle_name": "A",
        "credential": "MS,LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-12565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phuong Nguyen, MD
• Oasis Wellness LLC
• Jennifer Lea Olson, DNP, FNP-BC
• Mahmoud M Omari, MD
• Nana Owusu
• Miloni Patel, RN
• Mary Beth Patterson
• Laura Marie Paulson, PA-C
• Peter B. Peifer, PA-C
• Nicholas Perez, PTA

• Clinical Social Worker in Globe, AZ
• Providers in Globe, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.