Active NPI
Lori Houston, LCSW
- Clinical Social Worker
- Palmer, AK
National Provider Identifier
1376809137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 334
- Practice address
- 634 S Bailey St Ste 103
Palmer, AK 99645-6360 - Phone
- (907) 376-9091
- Fax
- (907) 376-9094
- NPI assigned
- Apr 5, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 334 | AK | Primary |
Addresses
Primary practice location
634 S Bailey St Ste 103
Palmer, AK 99645-6360
Mailing address
1150 S Colony Way Ste 3
Palmer, AK 99645-6972
Phone (907) 376-9091
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 |
|---|---|---|---|
| 334 | AK | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Playful Journeys, Inc | Current | Accepting new patients | |
| Playful Journeys, Inc. | Clinical | Current | Accepting new patients |
| Providence Health & Services - Washington | Past | Accepting new patients |
Locations
634 S Bailey St
Ste 103
Palmer, AK 99645
Phone (907) 376-9091
1150 S Colony Way
Ste 3
Palmer, AK 99645
1261 S Seward Meridian Pkwy
Ste M
Wasilla, AK 99654
Phone (907) 357-7550
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Palmer, AK
- NPI 1417559998
-
- Clinical Social Worker
- Palmer, AK
- NPI 1386067056
-
- Psychiatry Physician
- Anchorage, AK
- NPI 1538254347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622160000000",
"number": "1376809137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 S COLONY WAY STE 3",
"city": "PALMER",
"state": "AK",
"postal_code": "996456972",
"telephone_number": "907-376-9091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "634 S BAILEY ST STE 103",
"city": "PALMER",
"state": "AK",
"postal_code": "996456360",
"telephone_number": "907-376-9091",
"fax_number": "907-376-9094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSTON",
"first_name": "LORI",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-05",
"last_updated": "2021-05-28",
"certification_date": "2021-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AK",
"license": "334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.