Individual provider Active NPI

Lindoria C Storey, MSW,LCSW, CPAIP, PHD

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1255731121
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149016943 Issued in IL
Practice address
9510 S Constance Ave Ste C-6
Chicago, IL 60617-4700
Phone
(312) 898-7358
Fax
(312) 444-0793
NPI assigned
Aug 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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 149016943 IL Primary

Addresses

Primary practice location

9510 S Constance Ave Ste C-6
Chicago, IL 60617-4700

Mailing address

23831 S Kurt LN
Crete, IL 60417-1737
Phone (312) 898-7358

Other identifiers 1

IdentifierTypeStateIssuer
32264980201MedicaidIL

Other names 1

  • Lindoria C Rollins- Storey Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20150320000344 IL Practitioner - Clinical Social Worker 1456678010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23831 S Kurt LN
Crete, IL 60417-1737
Phone (312) 898-7358

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
149016943ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pathway to Peace NFP Clinical CurrentSince Nov 23, 2010 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1255731121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23831 S KURT LN",
            "city": "CRETE",
            "state": "IL",
            "postal_code": "604171737",
            "telephone_number": "312-898-7358",
            "fax_number": "312-444-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9510 S CONSTANCE AVE STE C-6",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606174700",
            "telephone_number": "312-898-7358",
            "fax_number": "312-444-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOREY",
        "first_name": "LINDORIA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MSW,LCSW, CPAIP, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149016943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32264980201",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDORIA",
            "last_name": "ROLLINS- STOREY",
            "middle_name": "C",
            "credential": "MSW, LCSW, LISW-CP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.