Individual provider Active NPI

Lori Badach, LCSW

  • Clinical Social Worker
  • Williamsville, NY
National Provider Identifier
1225454572
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R071801-1 Issued in NY
Practice address
2240 North Forest Rd
Williamsville, NY 14221
Phone
(716) 308-7056
Fax
(716) 529-0003
NPI assigned
Mar 11, 2014
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 R071801-1 NY Primary

Addresses

Primary practice location

2240 North Forest Rd
Williamsville, NY 14221

Mailing address

2240 North Forest Road
Williamsville, NY 14221
Phone (716) 308-7056

Other practice location 1

650 Ridge Rd
Lackawanna, NY 14218-1435
Phone (716) 828-9654

Other practice location 2

650 Ridge Rd
Lackawanna, NY 14218-1435
Phone (716) 828-9654

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

LicenseStateTypeSpecialty
R071801-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Audubon Women's Medical Associates, PC PastSince Aug 9, 1993 Accepting new patients

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": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1225454572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 NORTH FOREST ROAD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-308-7056",
            "fax_number": "716-529-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 NORTH FOREST RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-308-7056",
            "fax_number": "716-529-0003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Lackawanna",
            "state": "NY",
            "postal_code": "142181435",
            "country_code": "US",
            "telephone_number": "716-828-9654",
            "fax_number": "716-828-9745",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "650 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Lackawanna",
            "state": "NY",
            "postal_code": "142181435",
            "country_code": "US",
            "telephone_number": "716-828-9654",
            "fax_number": "716-828-9745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADACH",
        "first_name": "LORI",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R071801-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.