Lori Anne Smith, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW03927 Issued in RI

Practice address

640 George Washington Highway
Building B Suite 103
Lincoln, RI 02865

Phone

(401) 286-1917

Fax

(866) 899-3402

NPI assigned

Apr 14, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sowa Holistic Therapy & Wellness LLC

  • Clinical Social Worker
  • Cumberland, RI
  • NPI 1417778580
  NPD Authorized official

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1376162875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 KAY ST",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028642312",
            "telephone_number": "401-617-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 GEORGE WASHINGTON HIGHWAY",
            "address_2": "BUILDING B SUITE 103",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "02865",
            "telephone_number": "401-286-1917",
            "fax_number": "866-899-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LORI",
        "middle_name": "ANNE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "RI",
            "license": "CSW02409",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW03927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Http://www.officeally.com",
            "affiliation": "N",
            "endpointDescription": "electronic Health records",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "640 George Washington Highway",
            "address_2": "Building B Suite 103",
            "city": "Lincoln",
            "state": "RI",
            "country_code": "US",
            "postal_code": "02865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://www.simplepractice.com/",
            "affiliation": "N",
            "endpointDescription": "electronic Health records",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "36 Kay St",
            "city": "Cumberland",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028642312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tyler J Sliney, D.C.
• Amy L. Small, LICSW
• Rebecca Small, MSW
• Alexandra Smith
• Craig Alan Smith, APRN
• William Tyler Smith, MD
• Meaghan Ashley Soares, CCHW
• Social Sparks Inc
• Mandeep Sohal, PHARMD
• Diarra Souare

• Clinical Social Worker in Lincoln, RI
• Providers in Lincoln, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.