Individual provider Active NPI

Lori Ann Carlton-Mowry, LCSW

  • Clinical Social Worker
  • Palmdale, CA
National Provider Identifier
1144717208
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
37185 Issued in ID
Practice address
190 Sierra CT Ste C4
Palmdale, CA 93550-7609
Phone
(661) 524-9939
Fax
(661) 524-9950
NPI assigned
Apr 15, 2018
Last updated
Mar 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 37185 ID Primary

Addresses

Primary practice location

190 Sierra CT Ste C4
Palmdale, CA 93550-7609

Mailing address

190 Sierra CT Ste C4
Palmdale, CA 93550-7609
Phone (661) 524-9939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20210804003682 CA Practitioner - Clinical Social Worker 5193129757 Reassigns benefits to 1 organization
Practice locations: Rosamond, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center for New Directions, Inc. CurrentSince May 11, 2024 Accepting new patients
Stephen M Pumphrey Licensed Clinical Social Workers Inc Clinical PastSince Dec 25, 2018 Accepting new patients

Locations

23201 Mill Creek Dr
Ste 220
Laguna Hills, CA 92653
Phone (949) 460-5320

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1523750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1144717208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 SIERRA CT STE C4",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935507609",
            "telephone_number": "661-524-9939",
            "fax_number": "661-524-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 SIERRA CT STE C4",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935507609",
            "telephone_number": "661-524-9939",
            "fax_number": "661-524-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLTON-MOWRY",
        "first_name": "LORI",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-15",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "37185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.