Active NPI
Lorie Anne Younger
- Clinical Social Worker
- Needham, MA
National Provider Identifier
1366978058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW122301
- Practice address
- 163 Highland Ave # 1078
Needham, MA 02494-3025 - Phone
- (310) 507-9901
- NPI assigned
- May 2, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW122301 | CA | Primary |
| Clinical Social Worker | 1041C0700X | LICSW1121435 | MA |
Addresses
Primary practice location
163 Highland Ave # 1078
Needham, MA 02494-3025
Mailing address
163 Highland Ave # 1078
Needham, MA 02494-3025
Phone (310) 507-9901
Other names 1
- Miss Lorie Anne Mayberry
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW122301 | CA | MD | Clinical Social Worker |
| LICSW1121435 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765411200000",
"number": "1366978058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 HIGHLAND AVE # 1078",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024943025",
"telephone_number": "310-507-9901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 HIGHLAND AVE # 1078",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024943025",
"telephone_number": "310-507-9901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNGER",
"first_name": "LORIE",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-02",
"last_updated": "2025-12-11",
"certification_date": "2025-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW122301",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "LICSW1121435",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LORIE",
"last_name": "MAYBERRY",
"middle_name": "ANNE",
"prefix": "MISS",
"credential": "BSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Needham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.