Active NPI
Lorii Ann Hubbard, LCSW
- Clinical Social Worker
- Logan, UT
National Provider Identifier
1063817005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8340888-3501
- Practice address
- 2616 Black Walnut Dr
Logan, UT 84341-1643 - Phone
- (435) 890-9323
- NPI assigned
- Nov 4, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 8340888-3501 | UT | Primary |
Addresses
Primary practice location
2616 Black Walnut Dr
Logan, UT 84341-1643
Mailing address
95 W 100 S
Ste 104
Logan, UT 84321-4551
Phone (435) 890-9323
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 |
|---|---|---|---|
| 8340888-3501 | UT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490140800000",
"number": "1063817005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 W 100 S",
"address_2": "STE 104",
"city": "LOGAN",
"state": "UT",
"postal_code": "843214551",
"telephone_number": "435-890-9323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2616 BLACK WALNUT DR",
"city": "LOGAN",
"state": "UT",
"postal_code": "843411643",
"telephone_number": "435-890-9323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBBARD",
"first_name": "LORII",
"middle_name": "ANN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-04",
"last_updated": "2017-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "8340888-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.