Individual provider Active NPI

Lori Houston, LCSW

  • Clinical Social Worker
  • Palmer, AK
National Provider Identifier
1376809137
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
334 Issued in AK
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

Updated by the provider on May 28, 2021

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 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

LicenseStateTypeSpecialty
334AKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Playful Journeys, Inc CurrentSince Jun 22, 2021 Accepting new patients
Playful Journeys, Inc. Clinical CurrentSince Jun 22, 2021 Accepting new patients
Providence Health & Services - Washington PastSince Oct 12, 2009 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.

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.

Verify at the official NPI Registry.