Lori Ann Close, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17724 Issued in MD

Practice address

300B Scholls LN
Frederick, MD 21701-6380

Phone

(301) 600-1775

Fax

(301) 600-1781

NPI assigned

Nov 12, 2014

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 MD

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Mental Health Center of Western Maryland IncGroup PAC ID 9335040443, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• The Mental Health Center of Western Maryland, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hagerstown, MD
  • NPI 1104871946

  Clinical

  Medicare reassignment Care Compare group NPD
• Change Health Systems, Inc

  • Physical Therapy Clinic/Center
  • Baltimore, MD
  • NPI 1093236200
  NPD
• Change Health Systems, Inc

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1558414862
  NPD
• Change Health Systems, Inc

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1750428470
  NPD

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1235535618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 MONTEVUE LN",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217028214",
            "telephone_number": "301-600-1029",
            "fax_number": "301-600-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300B SCHOLLS LN",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016380",
            "telephone_number": "301-600-1775",
            "fax_number": "301-600-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOSE",
        "first_name": "LORI",
        "middle_name": "ANN",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-12",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernest Claude Clevinger Jr., M.D.
• Casper Ezra Cline, M.D.
• Clipper Counseling LLC
• Denise Palmer Clizbe, RN, CCRC
• Lauren Clopper, MD
• Closup I, Inc.
• Amy Traylor Clouser, P.T.
• Meghan Cecelia Clouspy, PT, DPT
• Clover Hill Counseling Services
• Ted Cmarada, LCSW-C

• Clinical Social Worker in Frederick, MD
• Providers in Frederick, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.