Active NPI
Lori Michelle Paris, LCSW
- Clinical Social Worker
- Jeffersonville, IN
National Provider Identifier
1063747657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34005905A
- Practice address
- 510 Spring St
Jeffersonville, IN 47130-3554 - Phone
- (812) 282-1888
- Fax
- (812) 218-9318
- NPI assigned
- Oct 15, 2009
- Last updated
- Dec 9, 2011
- 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 | 3349 | KY | |
| Clinical Social Worker | 1041C0700X | 34005905A | IN | Primary |
Addresses
Primary practice location
510 Spring St
Jeffersonville, IN 47130-3554
Mailing address
510 Spring St
Jeffersonville, IN 47130-3554
Phone (812) 282-1888
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100114160 | Medicaid | KY | |
| P00809936 | Other | IN | RAILROAD MEDICARE # |
| 1063415297 | Other | GROUP MD NPI | |
| 50028146 | Other | KY | KY PASSPORT |
| 100076220A | Medicaid | IN | |
| 1801014626 | Other | THERAPIST GROUP NPI | |
| 50704000 | Other | MAGELLAN MIS GROUP | |
| 160860 | Other | IN | IN MEDICARE GROUP # |
| 2444451000 | Other | KY | KY PASSPORT GROUP # |
| CG3623 | Other | IN | IN RR GROUP |
| 100386460 | Other | IN | GROUP MEDICAID # |
| 6764 | Other | KY | KY MEDICARE GROUP |
| 000000056294 | Other | ANTHEM GROUP | |
| CK2274 | Other | KY | KY RR GROUP |
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 |
|---|---|---|---|
| 34005905A | IN | MD | Clinical Social Worker |
| 3349 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park View Psychiatric Services, PSC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatric/Mental Health Nurse Practitioner
- Jeffersonville, IN
- NPI 1487872636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323388800000",
"number": "1063747657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 SPRING ST",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471303554",
"telephone_number": "812-282-1888",
"fax_number": "812-218-9318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 SPRING ST",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471303554",
"telephone_number": "812-282-1888",
"fax_number": "812-218-9318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARIS",
"first_name": "LORI",
"middle_name": "MICHELLE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-15",
"last_updated": "2011-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "3349",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34005905A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100114160",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE #",
"identifier": "P00809936",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MD NPI",
"identifier": "1063415297",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY PASSPORT",
"identifier": "50028146",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100076220A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THERAPIST GROUP NPI",
"identifier": "1801014626",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN MIS GROUP",
"identifier": "50704000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IN MEDICARE GROUP #",
"identifier": "160860",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY PASSPORT GROUP #",
"identifier": "2444451000",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IN RR GROUP",
"identifier": "CG3623",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICAID #",
"identifier": "100386460",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY MEDICARE GROUP",
"identifier": "6764",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM GROUP",
"identifier": "000000056294",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY RR GROUP",
"identifier": "CK2274",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jeffersonville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.