Individual provider Active NPI

Lorri Ann Proctor, LMSW CSW

  • Clinical Social Worker
  • Belleville, MI
National Provider Identifier
1255503090
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801065493 Issued in MI
Practice address
43039 Winding Pond TRL
Belleville, MI 48111-7206
Phone
(734) 765-7684
NPI assigned
Apr 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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 6801065493 MI Primary

Addresses

Primary practice location

43039 Winding Pond TRL
Belleville, MI 48111-7206

Mailing address

43039 Winding Pond TRL
Belleville, MI 48111-7206
Phone (734) 765-7684

Other names 1

  • Ms. Lorri Ann Proctor Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801065493MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1255503090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43039 WINDING POND TRL",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481117206",
            "telephone_number": "734-765-7684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43039 WINDING POND TRL",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481117206",
            "telephone_number": "734-765-7684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCTOR",
        "first_name": "LORRI",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LMSW CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801065493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORRI",
            "last_name": "PROCTOR",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "LMSW. CSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Belleville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.