Individual provider Active NPI

Lori Jean Chamot, LSW

  • Social Worker
  • Ellsworth, ME
National Provider Identifier
1316343072
Registry record updated Nov 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LSX14465 Issued in ME
Practice address
190 Bangor Rd
Ellsworth, ME 04605-3258
Phone
(207) 667-3239
Fax
(207) 667-0171
NPI assigned
Nov 7, 2014
Last updated
Nov 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LSX14465 ME Primary

Addresses

Primary practice location

190 Bangor Rd
Ellsworth, ME 04605-3258

Mailing address

190 Bangor Rd
Ellsworth, ME 04605-3258
Phone (207) 667-3239

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
LSX14465MEMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415318400000",
    "number": "1316343072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 BANGOR RD",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046053258",
            "telephone_number": "207-667-3239",
            "fax_number": "207-667-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 BANGOR RD",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046053258",
            "telephone_number": "207-667-3239",
            "fax_number": "207-667-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMOT",
        "first_name": "LORI",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-07",
        "last_updated": "2014-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "LSX14465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellsworth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; 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.